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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.OWNN AUILDER DELCAMTION
<br />I h.r.by rm.m undc. Fmhy or IErFry 'hd I m .r.i{,l lmn lh. C.mdon' Lius tlu ntr lhc followina E 5i (S$ 701 I 5
<br />Busincs( rd |rolcasion Cln.) Any Ciry or Cou,rty *hih r.rtun€r a Frdn ro oBrrud. !xd, impbva &mlish ;r En ! dy,
<br />soudu.. lnr ro i! irsura!. rko Eqlim rh.,rplid lor skh Fmii ro fik r riSEd n.r.mnl rhc lE or tt ir litnrd pu{d
<br />ro rL ItovlDN of tlr Coirrls s Li.rnsn Uw lch.prd 9. Co.ftninS wtrh Sar.n ,m or Divnbn I of E Bu.iEri .Id
<br />PiDrcr'ion, Cdl, M rl{ rE ur !h. ir crr$ rtE iion.Ir rh. hGis lor tlr dL8cn.tutrqhn Ant vbhrbnofs.<rb.70ll5btrny
<br />.pplicd for r F.mil subJ.rh rt dppliclnr to r civil pcuhy of ml mrc rh., nvi hu.d,td d,Uis ($500).
<br />_1.arosErofrh.FoFnr.orny.npkFswilnw.r!:$rlE,skcon{EMio..Dix&rtE*qt.,ndrtuiEnd
<br />i .r'd.n d oficEd fq qL (Sd.rol-{. BuriBr ri Profceri, C.d.: Th. Co'rr-rd l tit* ll* &.. Dr .p?ly ro m ow or
<br />rrr Fqdy eho hoildr d lqmB dEqr .,r, rho dei uh u{il hire[ or ttElr or dFuli hir d lEr o*n.nrpr,F ,
<br />Fovid.n rh.r uh inlrctlmtrr e fill ii.rd.d otuld ftn EL r, lbEE, ih. hiBin! d irF*ld i. -U *in r m F!ol.onpkrir $. OwM Builld wil hrE tlE tn,n . of pmving lh.l tE or nE dn ml hr! or nrlmE|lr F)rEr, lor tlE F FE of
<br />_1. .r owF olrlE rropcny. u.rchrirl, studms * t lNn-n 6tudo6 ro 6.ind th. Flld (5d. 7(x4, 86!s
<br />,n ProbaM Cod.: Th. Conrrroas La.ns Lrv dcs mr l,l|ly to x orN oa FDF.n, sho boill3 or olcroEt rnd@n.
<br />rnd *ho .o Bcrtur \u.ht,(u..rr $ h r(i,nrrchn\)l
<br />?fip;
<br />I hcrchy rlltrD, trnJcr Fnrlry.l tsjury om,'r r[. nnh*nr
<br />-l
<br />nrw ul will mirrrh r C.nifsr. of Co,rnr ro S.ltltr@ fd hrtdi.rrp.ndirL ! FoviLd for by S6tnn l7@of rlE
<br />Lthr Grl..ltr lh. Ffq':rlr of tlE rcil frr *nth 0E Fnir i' Lslcd
<br />_l hlvc Bnd r ill minrain worlcri .omrcn$r o. nsuntuc. ri rquftd hy Ser ion l7m ol rh. L{bor Codc, f(tr rhc pcnormB! of
<br />rh. wor* f whi.h(hk p.nn[ is hskd. My*o.kciq snlxn{rhn insurMc.ri.r dd l,oli.y numb.t uc:
<br />-lccnifyrhrrinlhcllcn'orrurc!oflhcwo*nnwhttlhtpotuiiris.d,I$illnot.r9L,y8yFnoo'nrnth.nrcrs 6 ro b..om subFr ro lrE s*6 emp.ndb. hws oacllifomn..rn $r lh3l if I slDutl rtoc rlbFl s rli
<br />s*6r $qENrior Pf,rvnioB o{ sdbn :17(n of rlE L.nr cod.. I {rll tdh*rl' @rply *irh i,b. p6virb.r
<br />l{ARNIn_(; llilu,c h sur. r.rlc6 contueri,n .or.,!Eu tr t .hxll !ur,F1 !n .nlPloF b r.miMl FEiar lnl
<br />ciril fin$ up n, om hundrc! rhousand dollur ($lm.UlD ol ro ,r^-'tr\rrr,n. d u!.\ trs lrovdcd lnr rh(
<br />::'l#E'"".7
<br />I h.Ehy rftlrmxodfip.nllryufI'rjur rhdr I !m lift.en undfi FDvishn olChort.r 9 (@tr1trmnr8 with Sdbn 7Ur0)nIDilnbn l
<br />of rh. Burir\s rrd Pn,a.dd C.d.. nn m, li..M Lr in tull r.rN ,rn .,Id.
<br />g)ISIAIjIJIIIITJJNDIIIi.AGIIST
<br />I h.Eh, ltfrm u.&r ltBlry or Frlry rh{ rhd. i! r otuMir. L.din8 .3.r, for ttE Fnolrlrnc ol
<br />'lE
<br />6l ror *lfth fii Fnr i
<br />ns.d (sN. 1lr'7. ci!. c )
<br />AIELTCAII.PECI4AAIU!
<br />I hoEdy llihn u ndcr pcnolty oI ncrjury om of rtE t,llowinr d*brur ions:
<br />o.mlirbn P..miB-Aib. o! Nodarrhn tu nl R.8!Lr.r. (TikaO, Pd6)
<br />Rcqus.rl L.rld of t{orifE lion
<br />I.drryrhll rhc fcd$ll rcBlLrions rc8din8 lsbc$os Enn'vrlr. nol alplrablc ro lhis,'nrj.--r
<br />:41cdiry rlBr I IEE c.d rhn qipttarbn rn ttE rtrrk inroturi,. ir corer I rrr h Luply r .ll CI, rd Counry
<br />odiEel rd Srrr. L,$ EhtlB to b(riui.g {n lEtb, rulbria EF.fliw. ol lhi\Cny Dd
<br />8E;""drE mnlrEd porEny tu inrrE l
<br />ADplic8nl o. Atml Sign{turc
<br />P-t O Cs&D.\J*
<br />,r," Lt
<br />Site-Work
<br />Underground E-x*-z t1
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />SiOns (monument)
<br />Lite Salety i Low Voltage
<br />Fire Alarm i Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouoh)
<br />Meter Release
<br />Bouqh
<br />Service lr/eter I
<br />FINAL d5 4-t l.t{u
<br />Notes, Remarks, Etc.rl I
<br />COMMENTS
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