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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.OWNER BUTLDER DEL(XR TON
<br />I h.r.hy .mrn und.r JEMlry or Frjory rlul I m .rcolJ'r f.oo ilr C.tu&loN Lir.* L.w t r llE folloeh! t@tr ll( 7Ol I 5
<br />BGitusr nn Pot sriir C.d.)r Any Ciry.r Counly ehkh ,trl[n.! r lEmil ro .oi{rud. dra, ii{)bw. &mlth or Epdn.ny
<br />srurw, Fir ro ils isure. .ko r.quiEs rh. qidicer fo. iuh Fmh 'o
<br />nk ! iigEd d.l.ml lh,r ll or slt Ls lian-d p@tl'
<br />ro rh. Fbvtions of .r. Conkbls Li.uEd llw (CtrF.r 9. Con@(in8 wnh sdii,n 7mO of Dtniro I of ll'. Blri&sr .d
<br />PmltsionsCodclorrhr!nc!,rh.ircrcmprtlEEfmm.rith.b.tnIorlLslLslncrcnliio.4.,vii,blnnofsdbn7oll.56y!try
<br />.mltsr lor!Fflr subJ.{ls rlE lFl'licdnr ro !.iiil p.Elr y of er mE rh., lik hurdEd doll,rs ($500)
<br />-1.
<br />6 owF of tlE goFny. or my ctrpkrltcs rith olscs &r ltun $b @nFNrio.. wiU tlo dr *cl rd dt itrEE ir tul
<br />i{.nd.d or orftd ld rk (Sc.7lX4 Au.ies ed P..fcsioN Cod.: TIE C.,lndM! Li.tr$ LI* do.r mr ttply lo { owEr ol
<br />rh rmrEry who hild{ o, iqnoB 086n. rn *ho 4E sh q,t hirelf or h.Blf or &rcu8h hi! ot lrr om.,ploFcs.
<br />F.vid.d fi.r skh nr{mEmds @ mr i ..d.d d offtird for sL. l( llMs. tL hiuins 6 inglEcfl i\ $ld sithi. om )ddror?kria llE OaB auildd wiu hrw ttE h!&n or l,mvina dd rE d rh. di, ml hdd d trrymE tl! FDtEly tor dt ,{,!o* ol
<br />-1.
<br />sr oqEr ol rhc rrolEny. 0h .rlu.ir.ly .o' rrcrins *nn lcnrd .o r!.lon lo conslNcr lh. IrcFl (Sk 70+t, BBES
<br />!i Pddrim Codc: Th. Conlrocror's Li.cnsc rl* dcr ml .rrrly ro 6 o**r of FoFny sh. builds or imPr.w. th.r@n,
<br />lnd who o nd! 16r rBh Folxi! rnh i Conrftt6({) lasxd nuBur t. rh. Contrcrfr s Li..n$ Li*)
<br />I rncrrmfl undd S(rtrr!
<br />o.l. ____- ____ _ o*G
<br />woxxrlfs c(lllrPEt"{Tl{rN
<br />DECIAXAIIO!
<br />I lErby .flim u.d.r Fn ry of Frjury oE of $. rolbwt'8 &.b.lionr:
<br />-l
<br />hot. r,i * ill mi rfi u Cdifsrc of CoMrr ro Scll l $E for $o 6 6dp.niraon.I FoviLd for t y S(liln l?00 ofllE
<br />trbo C6d.. tu ttE Fnmft. of
<br />'h.
<br />{ort ltr *nth llE Fhn i. is$.d.
<br />_l h.E 8d *ill trinrl.I wortcE ..rnFNthtr ansurlx.. .r 'quircd by SNlion l)00 oI tlE Lrbo. Co&. for t,E FrrmIrB ol
<br />rlE fr,t to. *nth $i. Fmn i. isx.d My eorlds onFn$rion iNUtuc ffi, ud Fli.y nunrb.r e:.**-' NCPhufiQ-fr","r";,;ffi4 EJrslzz
<br />-l
<br />.dify rh.r i. rlE llrforflEc ol rlE work for whth rhis lcrnn t i3s!.r|. I rh.rl mr .mpby .ny Fmn in o, mntur
<br />$ er ro t !58 shiir ro tlE $di6'@np.nr.rkrn L{r ot Criroml nd !8tu lhll if I stFUld t oE tubj.rl lo rlt
<br />sort6 cor{En$'ion povt6N of Sdbn l?ll) or rh L.hr Codc. I tElL fonnwlh o6rly *irh 'bE !ovlri,B..
<br />l,lARNlNGr FriluE lo surc work6 6mp.nsni,n o!fl8. ir u.U*tnl !.d sh.ll subFl .n mplots lo qiniml Feli...!n
<br />.ivil llms ul' ro onc hu.dEd rhousrd dotls ($|0O.O0()), h .ddnion ro llE .os ot con{Enslion, drd8.s B t ofitn for.L;:lilriid
<br />DFCI-^II TTON
<br />I h.Etydlr und.r FElry of pcriury rhlr I !m lie.Gl url(hr tmvbbn of Ch,pl6 9 {onmmin8 silh S.cri,n 7(m) or Diviib. l
<br />ot rlE Brsi6r .nd Pitrf.ssbN Ctrd.. &d h, li.DE is in tull foc .rd .fid.
<br />LLC)1eS\ Stl \
<br />-,., fTI-{[Ll "-,,*-4
<br />rl)lsrBucul,lttENlrlBli-a{iElsl
<br />I hcrchy 0lttrm uBlc, Full, nl pcrjury rhnl rhcr ir . on{dctirn kndin8 .!cry tu th. Frform* ot rl* w(k lot shth ihi{ Fmir i!
<br />^suc(l
<br />( S(. .](rJ7, (''v. C )
<br />AISUAANLDECUAAI!}U
<br />I hor+, alrm !.dd Fn.hy of pcriury om or dE folloring d(hnlionsr
<br />D.mulion P.rnirlA.b.nos Nolificr'ion r.d.nl Rqubl io.s (Tirk ,r0. Pd6r
<br />-R.autcn
<br />Lctr.r of Norifrdion
<br />J cdrly thd ttE lc&..J ESubhni E8!dir8 rlt.{nr Emrule rc' lllt lro}k
<br />'o
<br />lhn ImFr
<br />f drfy fi.I I tErc Ed lhB spllilion ud rr.r. lh.r rh. .hor infdnnrion Lr @Gl I .gB lo omFl, *ilh d c y lid counly
<br />;druEd id Srr. t,B. Ehrhs ro hl'ldhs .on.lrdrn. .Id lEEby .urlDrie qF.nriB or lhis Cny .d Counly to .rld uIDn ItE
<br />ah,vc mnrion d ptr,rn, fo insnrrbnpuqx,*\qLgEI
<br />Aprlicnnl or AstntSi8nrluN X
<br />U.-u**..,rnr,, (vr t0u_a q crqrn<:-
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Translormers
<br />Torqueinq
<br />Sub-Panels
<br />Boof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Solfit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rouqh Z'2't-z-t atii (,
<br />Service lvleter
<br />FINAL 9t7'2t b<!,tz
<br />Notes, Bemarks, Etc.
<br />COMMENTS
<br />Air Conditioners
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