|
APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround 1t ,.K
<br />Pole Bases 1/fi DOt t=11.,f
<br />Light Slandards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Bonding / Groundinq / UFER
<br />TransIormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Rough
<br />Service Meter ,.
<br />)l-'----t-AFINAL/[4l* >le t
<br />Notes, Bemarks, Etc. T
<br />ELECTRICAL-INSPECTOR RECORD
<br />OWNET EUILDER DEI-CAXITION
<br />I tmty.rEm unl.. FEhy of Fpry rhd I n.turtr tDn rlE Co'rrar6 Llie L.* fo, rh. fo[o*o, M$n lsr.m]|.s
<br />BlriFr rnl Pmr6ri,n CnL) 4., Cily or cI r, *hih EalB . Fmi to o.nrl. rh6. irproE. &mlih or EFi d,
<br />.mlm. ri, ii! nr iqffi. .ls ,.quiB
<br />'h. t ,lamr for st ltml h 6l r rilncd rncrEil lhd lE or rl! i litEn Plld
<br />ro rlt FDvirhn! o, rlt CoitL-rq\ Liin*<, l,* (Ch.Fs 9. Conftrins snn S..r-r 7@ or D'vnrr I of llE Bui6 .irl
<br />PDf.sionrCod.) orrhrr lI m.tE ii.r.npr rhdtnnn!d dr 6.\k Ior dE nk8.d.r.n b. A.tvnllilnof$<rion701,.5tyDy
<br />rpolird ror r Fmir bFh tlE .pplasr ro. civil FBlrtof mr mE rhs fi w hdEd dolLB (t5(n).
<br />1.1\ o*mroi rlx pfllliny. o,myrry)lofri * h *rsc\r\rh.tr y,lt()nqrnurn. *illd. rhcw(rk ml rh.sMN h r{
<br />iNcrkil orollarc l', vk(Sn.- 7(X-1. Busm.\ md Bofcsi(r\(-'rlc lh( (1'ntrrcnr's L.tcn{ lrwdrs mr $tly (, tri owtur of
<br />rhc pn,Fiy wh, h tt\ or i'rryrks rlrN)n, rnd *h, inB \x.h n,* hi' rcll or h(r{lf or rhn'ulh hr or h$ o*n .nll'[)y.4.
<br />I,nrrklil rhrr ru.h irqn.rnt r e mr inrcndcn o! .ll]rlrl nn {h ll. lx'w$q rlr hikliry or intx,yrnf,Dr ! {'Ll wirhir o c ,t(
<br />of co {kri[ rhc ( )*mr l]r'ltr will hrvc rlE hurkn of p(ri'r! rhri h. or \h! dd mr t ih .r impnrvc th. tln'Fny tir rlt purFr$ of
<br />-1.
<br />*o*Er.l rlE F)p.ny. .m.rclu(iEly.o r&1i.8 unh lk nrn codrdm io o$rMr rh. rmFl (Ss 71x4, Euiira!
<br />!n ffiriDclrl. Th. Conrr.lor'! Lt.nE l'* drxr n'r q{'1, r{' M oeBr or FoFny rlb huildr or inpn w. rh66(
<br />!.d *l$ .rdtu1r ld nh FsFds wnh . Arftion O l.cnGl pulud ro llE Coddd r Licr t a)
<br />_l m.rrnfl u Li sdrbn
<br />l,!1. Ot&r ttolxl nr, trNtt't'nstttrri
<br />IrI:CLL&UIOT
<br />I h.rr$t rlrtr utrdr',{' lrrol IUJU'yomol rhc n)ll){ t,lNLurrri\
<br />Ihlcundwilln i'rns('cd'lir[.olCo\rnrr)Srlli(hn)rsorhdr(onr|{nsrri,fl.!strovkl.Llhtrt'ySNrtr]7lx)olrh.
<br />Lrtx,C] ..nrr[.p.rfooutr.rnlrhr*orkt,rtrh'.hrh. Fr nr'\hnrtl
<br />I hlvc.rl wrllnurnrrin f,ork.ra .oryEnsthn inr r!Nc. !r Rquircn by Sdlion 3700 .l rlE lrrrr Gd., tu rlE ,Enornffi. or
<br />..!rrnr.,i'n rNutu! (uir !d Flty tur Er aPEml tu lhih rhn Frmir n $qrn. My*ork.nuh,e ott
<br />?rt 6)]- /r
<br />I diatrh.t inih. tEfonEm olrlk mrl fd f,h.hrhN p.rmn r nrkd,l llEll mt ctrl,hy.n, F(r h.ny rnF
<br />e N ro lE$m iut'i{r io rlE *oit6'strFnidir L*r of (iliromi.- rnd.aN rtbr ir I rt uld ltsm {bF '. rh.
<br />qortdi on{En.r ion povnbN of s(tli]n l?m of rlE lilnr co&. I shlll, ,onh}hh orirry }irh 'hi( nnluiii.r .
<br />;;li P":;:'' ' 4 (.-, /. tk $.1u[la&llx
<br />)
<br />I hcr.t'y .r,m udl.. Fmly or Frury lhr I .n lftnrn undc. Foirn. ol ch'pr6 9 lonmEing *nh Sds. 7uI)) .f Di]thn l
<br />of rlE alrlBr.nd Ptui.{nnr Cod.. !n fry li.N n i,6)l! trrr rrl cll6r
<br />9 ">t7 87
<br />i/tz / ty yo(- I r., t ? &r2
<br />c!.rluar].!-rlJNrlltltNci(iENrl
<br />I h.tohy rfinn,xnJd Fntrlryoltrrjury rhat rhcrc is r otrir(ri,n kndft l8cn(y ir lhc pcrfrnunc. ol rt so'k ,(t wh(h rhil Fnnir r
<br />t\tr.d (Scc .l(D?. Cir (: )
<br />Lcnd.rs N.ft
<br />A8tLr,:ANLrEgJaAnltg
<br />I hdd,.trduniq rEEly otF,nrryor oroE rolh*itrr rk Ln'hnr
<br />Dcmhrnn Pnnnr ArtEnor tlorifriri,. tu nl RcauLrbnrafitk rg). Pd6r
<br />-Rcqud
<br />l.nd or No.ifdiod
<br />-l
<br />csrily lh.r rh. fala.lE8lLthnr Eg,dinB st orEdrldec nn rpplirbh ro rhii pmF<
<br />_l c.niry rhd I h&c E.d !hir atplicrrion !d slrrc rhor rlE qlhw innrmrln,n hcoml.l !8re lo conlly wnh 0llCiry0.d Counry
<br />ontimn(.. r rlsrxh.l r\r\ k.l'rtr'! r, huildn,g hrrrhrrulrrt.rcEc{rt. i!cs ('lrhi\ ('iry. (i)unryn,. r.r uF)nrh.
<br />ahr nrnri()md |['Jtny itr iN|r.rt,n
<br />liu r or \xtnrsllMr R f
<br />cl.u
<br />ty't
<br />Under Slab / Floor
<br />Meter Release
<br />^*-tL/to/Lg-
|