|
APPROVALS DATE ID/SIG.COMMENTS owNtR Btrll,Dl:x DEl,( AR,rTl()N
<br />I lrrhy rrfirm o.'&r rEu,r, or Frrrry rh.r I d .r.ny rm6 rlE ftdRrm LiHr L.$ ntr ll'. follo*i.8 r.'$n 'sd 7o1l J
<br />Bu{6\ rrn Pn,f.srK,n Cin ). Any Cny or C.udy qhih r.q!n.s ! Frnl i. .onnru.r, !lrs. iirtlhk. &nn6h or t Ftr try
<br />(rucrurc. ri, ro ir( nu.rc. !l$, rcqun$ rhc atplirr tor cu(t nc,nir ro lik . si8ftd cr.r.m rhel lE or sh. t liccnrd puruii
<br />ro rh. Frsi,.i oflh. (iflr-roai Lkcncd trw (( h.prd 9. (..mEEinE r'irh Ssriod 7UX) of Ditni,n I ofrh. Burnrs rnd
<br />Fmfc(i'nr CiiL) o. rhlr h. or 3rE i\ dcry, rrEr.rt'm lnd rlf 1.v\ ror rlI .lk8.rl .r.np'5n A.y uhLrion ol Sari,n ?01I t tt riy
<br />lpplic! f(rsp.ndr \uht.krh. imli.an' k' rcivil!'.nalryurnol nrErh.n nve hu rcddollr (5511))
<br />l. ar of,Er or rhc FoFny. ., ny.,rl)loEr yilt 146 a. rhcn sk !'trrrneri.i, rill d, rh. *dt rn t{dma n
<br />inr.nLd orolTcrcd lq {k (Sn-. ?Ol,l, Br\irstlnd Pnr'cst N ( d. Th. (irnlm.tolr Lirnr trw&ErNl lpply ro oekrol
<br />rh. lnrtny whl brur or intr.wr tlE6n. nl wtr) dB trh w'* himrllor h.rclaor rhmlSh hi\ or h.r o*n.rllli,yc*.
<br />DrorrHrhl och iqmft !nd ir.rd trorYrnn ftr sl ll tnf,rE. rlEt iu,r8tr irqmlrd !sB *,hinin \w
<br />ot.r'q .rirn. rh. O*'Er guilt *,lllEt rtE tnnLn ol FtfinA rltl li or \n dddt rUditrtroE EFnldyanrlrFrFtr.r
<br />l. N o{mr olrh In,Fny. .m.r.brnrly co rrr'n8 *nh lrn<d $dhd6 tu nnNtu1 tlr IFrt| (SN 701.t. Brnft$
<br />ml P$is${ Gilc 'l h. (tnto(rtr s Liccni. Las d..i nol lpnly h o*ncr or pn,n y who hoilds or rnDrcvcr rhcrsn.
<br />rml *ho drincrsfor \n.hpn,Fk*irhtr( oitmtl(\rlt.nKl lluiiunrt,rh.(in radoir Liccnr lr*)
<br />I {md.hlr uftlcr Sc.ri)n
<br />]lJaliE&t-{0ltfaitArlaxIlEg.a8allo!
<br />I hci.$y ollifl. u.dd IFully ol'Il.rluryoN ot rhc foll,'si,r8 dc.l,mri,ns
<br />-l
<br />h.t! .d $ r ll minrim ! Ccnf.rrc ol (irenr n' sclf lnsoi. nn qfird! $flFndbn, !r FrvilRl tu by SEii,. :l7ur or rlI
<br />tjnn Codc. rd th. Frfnmnc. otrhc Dorl t, *hich rhc pc,mir n i\\trcd
<br />_ l h,E ,nd $'ll rui. rifl rortdr con{rh.k}n 'nsunr.. :\ ,.rtliErl hr- s6r hr lu(x, or l lr L.tq (in . br rli Frdfrn. of
<br />rh. trod nr whi.hlhk pcrmit is hruJ My *orkoa .of,Fnurir,n mslr.Ncc!trir ffil l[lty.umls m
<br />c-", +l4e-Tt<rp-D &aSi*u/+LTJ
<br />frr,,) Nunr. q bt.-J e,q\q.'t q 6'
<br />-t r'!-. (>
<br />-",'". 4ltl*
<br />-l
<br />(cnfy rha' rn rh. F,rormRr orrlE *oll ft{ \hf,h rnr rrnrir ii ir\BJ.I \hrllr cnnt,} $y F.qr in .ny .una
<br />e Nr{' tEd)m {hF( b rhc $,rl.r d,frt nsri,n tu$\ ofCrlinrnir, rnd u8r rhd ifl shrukl h.{nE \utF.r b rlt
<br />*orlri nrqEnrnrn,n pftn isn,n\ ,Strri :lTlnofrh.lrtDr (irl.,I shlll tunh*irh.onrdy *ilh rh,c pn,riri,ns
<br />WARNINC l',ilurc r, surc qrkcr'con[cn{ali,'n .o}cosc i\ unh*rrl. rnd shtrlr rtbrtr sn.nlplo]tr ro flmiMlpcNlr*{ rnd
<br />civir rincr up kr o'E hudrcn rlr)usd dnlhr lJllx)-lxx))- io Addirio. t, rh..o{ ol runFnr{ri.tr. drm8.s r! pn'vilcl tn!
<br />'he::i'f ITHE
<br />inldcc rftl omy r fes
<br />!h.rhyaffinntrnd.rfnrhyofBrlnryrh.rIr lRn<ltrndcrfn,vsirnol(-haprs')r.omh*mins{irhS.crirn7 X)rofl)r\ri,n3
<br />ol rh. Burim!\ rftl Pnncr\i)nr(ixk. ml rv lt.i{ n in tullnnri rnlclkrr
<br />o-\ ocrl? <al .
<br />lloolt?
<br />(a!EIAU(IIII!.I.EBDItrG.AGE!I.1
<br />I lFFby !r,m !*t r Fehyol Frjury rhar rlrrc ir. o.{Mnn t,nin!.r.Ey ror rlt Ftfilm..rrh. *sl f.r rntll lhn Fm, ir
<br />iriocd lScc .ll,97.Civ C )
<br />AIII.ICAII.IIE1;IJAAIIII!
<br />I H'y onim ufl!.r Fn!l', ot nfJury orc nrih. r{,lheii3 ddtnrhns
<br />D.mlirion P.rmnr.A\tr(or fhifrdion Fd.6l ResuLri)ns (l irL ar,. P!n6)
<br />-R.qun
<br />n trncrorMxift.lir.
<br />I diryrhd rlE f.rlc.! I E8!h r i,nr EBrdi.S .{En{. rcfr't.l.E d qT,lt.h! t, rhk Irrd
<br />-l
<br />c.rrilrrhar lh0!c r.rd rhn B,,plic n,tr(l(urdhsirhcuh,vcirr.rmri,,drcomd,aF*t,$nflywithall(iryindCotrnry
<br />odinrR.{ r'xl srd. tir\ ELrirB ro huildinE cotr{rucri.n. !d hc,.ny orhtrirc r.F.rnrlr'rN orrhi{ cn,,n Couory ro cnrq !II,n lh.
<br />rtnr. 'Enrirmd ,flrFny kn 'nrFd$n porr{r
<br />\Dplnnnl or ,\!$r Sixntrltrrr
<br />5>L^,(4
<br />\\,1 6/l?
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq i Groundinq / 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 & Sollit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough trk14 /* 5, h;,t-aH 5<l Lltfz * 4
<br />Service lr,4eterF|NAL PXtq ttrlA /* 1.Dact fit*t tl/itl .+ > )(J\toru(l
<br />Notes, Remarks Etc ,\.
<br />ELECTRICAL-INSPECTOR RECORD
<br />"'"'""'4z=_--"-
<br />I
|