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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE rD/stG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)2--1-"))t'tlLfu
<br />Ceilinqs (Hard & Soflit Rouqh 3'$-z)
<br />Ceilings (T-Bar Rough)34<,A !#
<br />Meter Release
<br />Rough
<br />i
<br />FINAL 1-\5-2)Hi
<br />Notes, Remarks, Etc
<br />-+
<br />owNlit rullnEn DFI(aR^noN
<br />I l$rt't drrn uni.r FElry of Frrrry lha I m .r.ifi kom rtE Colfr(r' Lir.c L* fot rL folllpr! Easn lsa l0ll 5
<br />Bulrcs rnd Proft.\ir C{t ) Any Cil, or Cou , $h.h Enun- ! Fd ro oNnd. did, iftIr6E d.mrth or qu riy
<br />id.ruE, lnorr' irs i$uN c, dlso rcauircs rh. sptltrm' ntr such lErmn to fihu si8rd llulcnEnl rhat lEor dx n liccn{d purulnl
<br />tu rh. t ovirbnr ot rlE Conrturn r Li.{.*n llw (Crufl( 9, Col1rmrinS eirh Sd1r,n 7(ID of Oivisaln I ol E Bu\iEis ad
<br />Pn c(bns CuL ) m !hi' lr n 3lE K crcrgr
<br />'lE.6om
<br />.d rrE h..r1 lo. tlE .llq<n .rrtiioi. An, vphii,i of S.rlioo 7ol I 5 by .ny
<br />oppliconl ttn { tlcmil $hjNl r rlt {[lic!nr n, ! civil I,tnrlry of m,r m]rc thrn nle hnndEd dour\ 1t100).
<br />-1.
<br />r owE ol llE FoFny. d m, .rploF.r uilh {ac a llE nt oqEB.lbr *iI & dr Nt .d lll rtrEE n bl
<br />idor,.d d oftEn ttr sk {Se.r(xrr, BEiFs ud ProfcriFB Crn : TtE C.drri r lilr ri*.tEs mr +pl, to m owH or
<br />ilt pFFny el, t{iu! or itrp.btr r,t@n. un trtn d(B Mh h himllor lErElto, ttmud ht o. h.lopn !'q,lqdt.
<br />,.oriLd lh.l rEh iflsl]wnlt e Bi in .iLd m otuld ktr E]. ll lrw. 0E lxiLlinr n irp.GEr ii -ld sitth m Jror.dphrir E OwG turr&r will h.B tlE hlrhn of F.vin! dr lE n cr dn m' h{il, tr 8q!E dE FIi-r, lor t E FrFr of
<br />_l aowEorrtu Frtdy. u.(tuiElrcoddinS wirh lirran .ddrB'o oMd EImF(56 7044, EuiEs
<br />rn nn{6in GxJ.: Th. conuafin i Lk.na !.* &B mr a@ly ro o 6*H ol FoFn, plb buiLl. or 6pmr! rh.6..
<br />rnd who .{ mls for luch pmr.d! wirh ! ConlBdon3) liensn puBuonr ro rh. Conrrsroas LacrE L{wt.
<br />I om.rnpl u.ds Sarx'i
<br />MBA!&$i0!trE!5A.uaNDtcltadrra!
<br />I hcrhy !flnm n nder rEulry of psjury orc ol rlE lollowin8 nahmri'nr
<br />I h.E.,n rill Binl.B. C.nirrl. orco.sd b S.lf.lntw tu wrl6 o,rENdi,n. s Ftrrij.n for b, Salbn]70o of rlE
<br />rrtx* Cd., rd rh. pdflru ot tlE *st lor $hth rh. pdmil a !$u.n.
<br />YZt,* .,,a * r *.,.in *o,r"^ .onp.Nrir. i.suh.. Er EiuiEd by s(rion lrfri ordE hrrtr c!d., ror lrE Fforu. o,
<br />ih. qort fd *h.h rha Fmn it kcd My wrl6 dxrp.rdbn imuft. (uir .rrd F l-y rudiE c:
<br />cm*r . 1r*1e Frxo
<br />",-"'.M .1-Ll
<br />-l
<br />ccrrily thor in rh. p.,tormNc orrlE *o,l tu Bhth rhir Frnir n tsuc{. I ih.U Nr cnltJloy,ny pcMn in any MNt
<br />$ r\ ro b&!m sutiir b th. sxt6 d,,p.trdirn L*i of crlifornr n .88 th{ if I .rauld tE om $lirl lo llE
<br />frrt6' onlEndi,n rrovisioN ot Sdirn l7m or rlE Ut r Oi..l !,Ell, tunhrnh o.q'ly rirh rlnc rori!-,N .
<br />W RNINC lr{lurc ro suc Btrl.n mmrEn{bn c)Er.a. rs u,b*tuL lol slDll !!hj.{t F ro oidiol F-lJ.nd
<br />ro oE h!'nrd rh)ued dol[^ lllcnlrD,. in rdd
<br />l. /'t t
<br />l,)Il! !t!rl^
<br />I ltEby antn und.. Fuh,ofFrrury lh.l I on liusl u Lr F$virhnofCh.pls 9(.\rmmEitrB *iln S(
<br />or rlE Burtrrs rd Pn .1!irB Cslc, ,n my li..M n in tull ritrN {n.iler Gat (t
<br />11 1
<br />t.1-
<br />(]Lll-L!1ll!!\!.DlllL!r-j!I)1l
<br />I h.Ehy arro !ndc, lEmlr, ot p.rj!ry rhrr lhs. ii r onnru.ion Ln li.g .8.8y ror rlE pcrfomm. of ltE wl lor whah lhii Fnl n
<br />is*d lS(.109?, Civ. C.).
<br />aflllqaNlDEll.dBAua!
<br />I hcr.ty !trmr undcr pcnolly of pcrrury onc oflh. follo*in8 d(Lrurionr:
<br />Dcmnniotr Pcrnn+AsltilG Norifraion tu nl Rc8uhrionr (Tirlc.l0. Prn6)
<br />_R.!uiEd t. .r of Nirifk{bn
<br />I c.nify
<br />'hd
<br />rlE r.ncrd EEUIs'nn. EBE{ina lslE{os rmv{l E mr amltrl,t ro lhn rmAl
<br />fdniryrhnr I hrvc rc rhtr lppliclri,,n url {Irc rh,r!h.ah,v. n,lr x.l rtrL!
<br />'o
<br />conrly qnh ull Cny itul cuunty
<br />onlrrxc\ r,xl sr. . lrtr\ nLrr,ng nl
<br />ihN nrn'hEd pmtEny lor h
<br />Appll(mI or Aa.nt StdluE
<br />".-U,* -*,rnn,,,{
<br />v
<br />Davs cl*LLt Ng
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<br />ZTltr
<br />RFV On-07-2015
<br />.li &PC rin rhB,crvr
<br />2-\ ,,,,,,.,.',,.ts
<br />,'l
<br />Transformers
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<br />},UEfl
<br />t/
<br />Service Meter
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