|
ELECTRICAL.INSPECTOR RECORD
<br />rr\\\tR rll I lr R llr'l ( \R\Ilo\
<br />I hd.by .lirm un& Frny of FjU) rhi I 6 ddqi ton rlE Coddo6 LilU L.* fo. $. lolb*hl rdo lsc.?0r l 5
<br />Aui.6! rd PNfBior Cod.): A., Cnt or ( o!,*y wtkh Equn6 . Fht lo 6irn .l. rto, ioF.ve d.tulLh o. r.?.r 6y
<br />ntud@, rior ro ili isoec.. ,\o r.qun6 lh. t gtic&t for Mh Fni lo frL t 3,8i.d n dmi lh.l lE or th. ! li.d!.d Punue!
<br />ro rlE FviiioB of llE Co.rr..lori Li.or.d lrw (cn Fs 9, Conntri.s *ilh S.<1io. 7000 of Divnhn 1 of th. Bdin.s dd
<br />ProEsio$ Co&) or lhd lE or JE i .raF rhg.fin .rd rl! bcb tor rh. .lLg.d adrption. Any violdioi of Sdion 70r ! 5 \! D!
<br />.lplica fo.. Fnn ubj6l] llE qplt.lll ro. o\ rl pdrh, old mE rbD fiv. hIt(H &11,6 {ltm)
<br />l. s o*c ofrh. FoFrr, o. D, ophr6 qnh *.86 6llEn -L ohFBdioL *1n di dEw(t tn ErrEiEi! r{
<br />rn6id.d orotrdld f6. sl. (S( 7041, BBind ed Eol6hd Cc,l: Th. Colltxle t LLN t w &6 ml .rt ly lo u otrE or
<br />ln pmFty who t!il& or i,nFnB UEin arl who {tE tucn hrt hmklf or ho*lf or lhNuBh hi. q hE o$n 6plorc.
<br />pldvid.d lhd $ct islr.vml! e d 'Inqn d oror66.d ror sL l( h(l@. rlE tlildi'u o. sp.wdl i $ld whhin on.
<br />'6ofonplai@ dr O*E &rilda uilt h.r! lh. hdln olFoliIB rll lE or rlE dit mt hlB or nt9rot rh. FnFy tu tlE F4.6. oa
<br />l. do\cofrrE p.rpdrt. Da.luriv.ly.o rdtrrB N nh lico!.d $'rr&16 r. (!dr!d tlt F!j.(l (Sa.70,1.1. &.16
<br />&n hriBirCo& thc(onrrrru r l,ic.elr* doc @i q,plyr. o o*tr6 orprcFly wh. buil<h o. mpror6 rndon.
<br />&d sho @dn.rr l ru.h Fqdr wnh. (hnlrxlo(!) licoed puB@n lo th. Codn ror. Liffi L!E)
<br />I m.rdnpr und6Sdnr
<br />D.r. Oin6
<br />$ oru(Ffs. (.oltt Pf, itsaTtoN
<br />DE(IJAAIOX
<br />I h..bv nmrm !nd.. ,.ulty ol pqury .nc !flh. folk'* i.s d<l-.ri)
<br />I h!v. di will mind. ! Ccnif(d.olConhr lo S.ll-lnle for vorldi 6'nFslion. ! Fovid.d lor 6y S{lirn 1700 ofth.
<br />lrb. Codc, 6r th. Faolrlle. of rh. mrl fG *tkh llE parnil i isucd
<br />I l$r rd tr ill tunr!'d trrrld ooF!.rion i@.. s rcquiral br Srlior 17@ of rh. Lrbor Codq l llEFfol!ffi..t
<br />rlE *Mi fd $t.h rhi pdnn a islt Mt l(16 omFdbn iBllrm. sit .i Flay .umbd ,.:
<br />c!,i. \r\L\\> 1 9! O4l3 \"lrvt cE\ Df cAulkyzutA t/tq
<br />,"u",^,.u--cnE1 :& L-l\ - 9loC"1+Z:!4!r,,-, ' A/Ot /Zet8
<br />I cdiryOd in rh. Ffollrec olrtE r..t f.r *hti rtn Fhn ir isu.{ I Jrllhl opby D, F$n i. u} IW
<br />- Bro bdom $bj.u ro rlI wrla MFlrior LB otcrl,ro,u !d +E fir if I tLuld t<!d st,(tl lo llE
<br />sorld' orpds.lh! Foviis ofsdan l?00 orrl. bbor Co&. I d$lL adhwnh ondy *nh lhos Foviiio6
<br />WARNINC FiiluB h dur. wori6 .ornrqlrori.n ovm8. Lr trnlarrul. and sh.ll .trbj<' dn crplord lo mminal pdah'6 and
<br />.N,l lin6 up ro 6n. hun&.i rhoNnri dolls (t100,000), in ,j mn lo thc.or ol.onp.Nrio.. damsd N t('vidil rM rh.
<br />s<rin.1076 ofrt l,!r culc h'od.nd i'orEy r lc
<br />zd / r-l ^*u-,.
<br />DECIASAIIO!
<br />t hmby arm und6 Frxy oa pojrry ihd I !n li..nr.d udd p$vnnrn olchapl6 9 (<lmmd.in8 wnh Sdion 7000) of Divtn n I
<br />of rt lruine &d PmfsioB Cod., ed ny li.mc n in fru for( dn.fid
<br />ry- (' b . c4 - cL/ />@t*** *.,*/ rax,, c L, A,L.t,/rrU Ir|q/Vat/ t1
<br />qs 714qP vJe7ru qlelt
<br />coNsl RUcr(tN t tNlrlNc acFNc!'
<br />I dry afirn uda Fn'lry or Frjur] rhd rhd. 6 . roldrud i.n kn<imrr .socy ror rh. Frolfu.. .f thc $ o' t li! $ hich lhis F 'r'l n
<br />tsrcd(sE 1097. cn ( )
<br />I ..Jd r \nc
<br />APPLICANTDrCI ANATION
<br />I hai,y rllir uida FrL, of FjEy oE .l rh. lolbsin8 ddhr.lhN.
<br />l).tmhion Pomirt- rhdq Notilicdnn F.d6n R.suli ioN tTnk 40, PEl6)
<br />R<!uir.d lnrd oltldi6.dirn
<br />I cqrify rh, rh. Hs.l r.SulllioB rsddins sbGros Movd r. nol !pplk$I. l. thiJ Foj61.4a lcqr'ryrhdlh^.6drhsloplkrio.Eldd.rhrrh..towi.ro,nrhnn(drcll.€clo@oPly$nttllChyudCounly
<br />ordtuls r,rl Sr.t. 1r*. Eld,g ro bildins .odtudi.( rn lE.t y .dtnrik rqerdN 6 of rhj! cnt .,n Counry ro ds ur[n lrE
<br />.rrnt trE ior.d FoFnv td !6Fdir.
<br />,1prli..nr or ag6i shn.rtrr.
<br />t'".-ir*.,0n,"1;-inrr, D(J
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under SIab / 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 />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />It4eter Release
<br />Rough
<br />Service Meter
<br />FINAL ).2V-/6,J){ab rto
<br />Notes, Remarks, Etc
<br />-+
<br />v'5-rr PNDzz'e<v\)
<br />') /2q7,-l
<br />:-
<br />tt
<br />I
<br />I I
<br />I
<br />I
<br />I
<br />I
<br />I
|