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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.OWNER ITJILDER DELCAtrATION
<br />I h.arry .rr,m ud.r Fmny ol Fiuy d I u .rFpr 6Dm rlE Cofttcr6 L-itc Ue for tlr lo&,,!'g l6n (Se ?031.5
<br />Burincii .,n Profision Cod.): Any Ciry or Cou y shi.h raoili r Ig ', ro 6nnrd. .lld, nrrmve &tulith or qE uy
<br />!rnrrr.. Fir!o ir krl)rG,.!o,q!ic rlE 4?lad ld uh Fr:ir io Rrt.i r.d rLLfrd rhd !.o, ar i li.r!..d prr.!,r
<br />ro tlF l,mviti,tr! of tlE ConE dm r Lk n*d ti* (Ch.prn q ConGEin8 whh Sdion ?000 ol Diti.hn ! o, E AlriEs rDd
<br />Prof.sbd Co&) r 0u h. 6 rL n .&npr $dtom .td rlE t .ir ror tlE dkS.d .rcqrin. An, tiohr-. or SdDn 7ol l.5 by 6y
<br />rppli.rm for t Fm subjiri rtE .pplt nr to r civil p.mhy of ml tuE thrn fivc hundr.d d6lle ($m).
<br />-1.
<br />s owE otrlE FoFny, q my.rploFd wilh e.8.r s llEn e& @tr9c.s.lir.. wi0 do 0E Et.,n ErMNimr
<br />id.rd.d c o6.rd lm rL lsr.ro{.{. AGi6 rn ProfcsioB Cod.: flE Coffi ! Li.w L:a &r.Er +tl, b r ow of
<br />rlE Fpdty wrb hiir& n inprDc fidqE .,n *h &E rdr rd.t hinElr d h.Mll or rlmuth his n hd oh.tPbr$.
<br />Fov!.n $.r sh inlFo!frdr cd,r iiLrd.d dofEld to !h.It how, rlE triu4 r irrr.trdE ii -! *ihhG Faor.tplrbo lll OwE AriEr wio llE tlE h,&r ot FsvilB 0i lE d tE dil mr t{itd d 8S.m dr FDFry lr uE F,ror of
<br />-1.
<br />&r owmi ot rn pruFdr. dr .r.lurivcly .o.rd in! wirh li.lnsd .o mloE lo @trq cl th. Phitr (S( 7044, Burms
<br />nn l,ntt(ir Cod.r TIE Codraloir Lt.rE Lr dd.r tui .t?ly ro a NE of FoFl y *lD trildr u utproB rid@n
<br />i.d *ho @ r-r. rM .Eh ,i.Fdr *ith . C.nmonr) lhn€n FrmEt to rlE Contr.d( r ticn* r.*,.
<br />I rf,rcicnlPr undcr Ss..r0n B &PC f.r rhis ma$n
<br />t)rr. ()xn.r
<br />rvoRr(r.R\. c(rr\tPF'r{s,rrroN
<br />Dlrlr.8tuai
<br />I hcr.hv!llirn'un pcnrlrtollrturvomolrlf, nilL,trn,!J..lxrrtor\
<br />-lh.E.rnsi
<br />f,i dn . Ccniadtc ol Coknr ro Scrnn@ 16r srtal onp.ndion. a Flvil.d for b, S..tioi l7(D !f llE
<br />t b.. C.d4 ld tlE Ffm of E q* rr rtih Ur FEi it isr.d.
<br />_l ltE.!rl siU mirl.i. r.nd 6np.s.rbn i!ssN.. E rEquitd b, Satin !7@.f U. (,hor Od.. nt llt Ffm of
<br />rlE rort f6 whin lni. FDn ir ir,.d My eri6 odp.iE rbn iIffi 6i, .ad FIay nul$€ c:
<br />-*' (}.,,+. fr,"/
<br />*,., n."*.' Qzal jo Epn",' ll'zl-Zo?l
<br />-l
<br />enify $.r h rlE F o.lr.c of 0. m,t ir rtih lhn Fni n iro.d. I ndl ml .rEbt uy Fs in u, .!lE
<br />s d ro bdom subjoc! b t,E mrtd' onp.nrrb. lrs of Ctlifoftia .d .IG lt.l if I rhould b.coE stFr b dE
<br />mrl6 otrFeri,n FDeii.m of S.(lih lro ol rb. trlB Cdde LhL fodleth 6rdy rnn dD- Foriiia..
<br />WATNIN(; frituE ro sE q,t r'ontEErbn o@r.
<br />(n,l lrn.( uI ro om hudrcd rh.usnd tlollui r3l00.Ooo,, itr
<br />sd1.n 1076 or E bbor Cd., bld..,n dlmy r t6
<br />B lnLwnJL {d rhrl sbF u drploF lo flin l rE l
<br />uddirioi ro rlr .on 9!,];s},r'e'ion. d!nF! s pmviLd
<br />o.u,'/D--L91)
<br />I ltrly .fm ui&, Foly ol FIr.y tld I E lirf,ld unrlr Foviibn of Ctrps 9 t@ffiin! *ii S€rir ?m) of Diviri,n l
<br />or dE BuilB !n PrDf.si,N Co&. !n dy IilE ir h tuU tur.i.tr(r
<br />..*.n- ' C- V6
<br />D.o,t ?-r,-?,'al --,*{w lo 3 t"l l't
<br />:?
<br />colIilallrQl.tEDllulcllgr
<br />LEd$y .tIrm udd Frxy of Frrry lh,r rlEc b . olrrturion L'dins rs.Ey for rlE tErolr1m of E R,rt lG *tih lhis Fdn ir
<br />lrt d (Sa .1097.Civ.C.)
<br />ATEUIANI.DESIAAIIT}N
<br />I hdrh, .ffm uid.r F..ty of F,jry oE of llE follo*h! &.Lrnbn!
<br />I).mlirio. P.rnn'AsrBro, r*xiisrion RiLnl R.tul,rbas {'rnL,lo. Pin6)
<br />_Rcqun.d t lrcr of NolifElrii,n
<br />-,
<br />cdif, rhlr rh. f.i,.r.l Esrlsrio6 ESrrding abBtor Emvll c d {Dltabt to lnir FDj.<r.
<br />y- I ccn{y thd I hrE Eld rhE rpplr.r bn .,rt ndc thd rh. .tow infornElbn ir .orrd. I .Xrc ro onPly *nh rI Cny rd C.unty
<br />rdEftd.d srr. ri*.EL|rytohl dinS c , !.rlbrir EF.rfuiwr or rhB Cny .rn Counly lo drs qu dE
<br />!trN. nrnri)tuit ln'Ilcny ntr
<br />rlplicnnr or axor Si*nxlurc
<br />,L&Y
<br />1-ru'zatl
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Bonding / Groundinq / UFER
<br />Translormers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soflit Rough
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh 'l-\.r- zl r6idrL
<br />Service Meter
<br />FINAL 1{4.Lr Wil?-
<br />Notes, Remarks, Etc.
<br />-+
<br />COMMENTS
<br />Lrnl.r'r A.l&.$
<br />-
<br />Under Slab / Floor
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