|
ELECTRICAL-INSPECTOR RECORD
<br />OWNPI IUtLDEf, I'ELCAT.ATION
<br />I hcEby rmrm un&r Fmlly of pcrjury lhd I m .r..r{,1 lmm lh. G,ntffroF t,tcns liu nr llE nnh$iir u{r lS..70ll I
<br />Bulircs !d Profc(in Cod.r Ary Cn, or C@nry rhih r.luiB . Fnn h odr(i. .nq. i'rFo\q iLmlirn or rFn .ny
<br />nrudr.. rir k, i'! i!\u!r.. alv),.quiE{ rh. llplkanr rd ochlxmirb nb dn8rcd {.r.m.r rhrl lEor !tu n lic.nFd I'urud
<br />ro rlE Fvni'nr of llr Co.rrxln t Lirnin 1,, (('t[,llo 9. CoIwE'n3 rnh Scrbn 7cfir of Diliri'n I otr,i Blriftrr rnd
<br />Ptuf. irnsCotl.)orth{ lIn.1tF F.r.ry)r (h.rfronlnd rh. hrrt tif rh. dlh8.i.r.mprt,. AnyvioLri.,.olSd.n]011.5byrn,
<br />rylici tu r Fmn ubF|t lll q! k d lo..ivil FMII or Dr mlE rh$ rivc hu'nEd dolla. (t5(r)1
<br />-1.
<br />8 orEr ordi thF.ny. d my crpLrF. $irh *r8c! 8 llrir slc $',tatrsbn. wi! Ih rrE *nt lld tlE rME k mr
<br />iti.nLd d ofi.t d lc nk ( S<.r044. BuliBs .rd Prcf..rird ('r'd.r TIE Co rxld.LaEclrp&r Dlq,tllylouorErol
<br />rlk FoFny stn hilfi 6. nqnrH rlEbtr ..d wttl dr6 ch s't nimklf or lEBlf or rl!.lgh hii d hd oh .nphr...
<br />FoyiLd th.r .kh lqmEmfi e d ir6d.d .r ofi.rd ft, rL. lf. lrffi. rlE tlildirB d h+.m ir iE ,ihtr ft Fr
<br />olmtrpLli4 rh. O,xEr AuilIs will hrE tlE hod.n of lfi,vioS rhr lEnsh.dd mrhiEo.ialmE E prrt6y frtr ttE lrrFo- or
<br />_1. !r owEr of rlE FrEiy. rn crluriElt onrrerins *irh li..nrn $ntrrrm x' otrrrud r,! rrFr tSc 7ut Buri6
<br />.il ftr,&inm (td. TIE C. Br.r'. Li.n- bw &rr mr rprlr ro - olkr olF.Fny who hrld. or irpmEs lhcN.-
<br />lnd *ho $.tn 1rlor such Eoj.rtt *nh d Crirndono lt.trsd lunMr rorh.Contr&1ois li.nslr*).
<br />-l rm cr.mr, udcr sarn,n-
<br />-,
<br />B. & P.a. fttr'hh rc!{,o
<br />t)rr. (r*n..
<br />u0af,l;Bs-ttlul};Nsi-ltorlrf(I/rAlIIaI
<br />I h.rchynrllrnrr d$ |{MlryolFrtry.tuolrhcloln,qnldcrlln trri\
<br />I hlw .nl s rll frrnr(. t C.nia.{c of Consnt h S.lf Inrur. f6r krt6 $n{E.{ion,.s pn,vil.d for byS..ri,n.Uu)of rh.
<br />li a'rxlc. l',, rrE FfomLr .r rh. $od fttr *hah rlI p6mir ir i\.ncd
<br />-l havc,od sillmrinroin *.rkcra compcn\lrl'n inqr!,f,c. !\ rclltcd bysc.rio..l7o0.rrhc uhor (id.. rd rh. J,
<br />rll rdlkn.firhrhnmm 'strun Mr qdl-r lTnnnqrnn 'n1urn..:lJE' rlmlrrnuEhrft
<br />,-., -filtE t ,,r-F"e;l Cqso^$'l G-
<br />,,,,,.,n,,,,0., TLArro?2o !o \
<br />-r.rnn..'
<br />otloL/Z-$
<br />_l ccdily rh8r in rhc ncrtoruftc or rh. sod nn *htrh rhh F,mii i\ itsurl, I firll mr.nl|)loy.ny FR'n in lny m,nmt
<br />rr a. tr tRrm {bFr kr rh. wl6 sqEngrir Lf,rotciifin!. !,rl !3m rhd !lI rltdd lt$m shFllo rtr
<br />rorkd{ omlEnsrio. nmv*i'ni or Sari n l?U) of rhc l:hn (ixk. I sltrll. {onhuirh onply * irh rhoe pmvisi,n{..
<br />WARNINC hilurc lo s...urc wr cn'.o.rllcn'nrbn d,v.rur. i\ unlnsful. rn $0ll suhr.t Ln cmpliDrr io mminrlIEMtar nnd
<br />i':1.':T;#.11;T,HHIT[1 S
<br />^. j.tZ.+?
<br />^
<br />in ndirin to rlE co( or conrrEnslnn-
<br />l)EoraauQx
<br />I lrrrbr rlftd unJcr |t.llrrorp.rrtrryrhnr I d lrrnarl ond., lruvsd!.r(tuptd I(0.nnNrcin8 wirhSNti,n 7(xLolDivFhn-l
<br />or rhc trusift\\ rd tbfi\\i.n. c,,k. *t,"v t."n{ " in l"I r,"-,,.1.fitrr
<br />f#D+S 15a
<br />tu|t(AK,t t
<br />calluBtlroxljulM;l$rN.ll
<br />Ihcreh,dmmx Li Felr, oa porury rhd rhd. ir ,mnnrucii,n bndinS .g.My for rn p.rfom. of lhc wo tu*tEhrhntEn ir
<br />irqIn (S.{ lo9'7. Cir C )
<br />IDP T(:AI{f DFjcI AEATT(IN
<br />I hrlby .trm un&{ pcEny ol Frruy oE ot dE foll,rh, drbrlhn!:
<br />D.mhion P6mtu.Arh.sh. tlolifnli,n F.d.ol R.SuLrbm ('fik 4o, P.n6)
<br />-R.quiEd
<br />ldrd ol t{olif'.nt
<br />_l qtify rnd dE LrLnl clILriB E8{rlin8 h.no, ltmhl e n, rprlt bE b rhir IIDF
<br />_l c.nif, rhrr I lr!. E d rhir {rli.rrbn rn i.l. rhd rlE rlr,E infom.lhn n cqrEi. I .rr ro oq'1, *ith rU Cly .rn Couiy
<br />o mN.\ ffil S'.i. flrrE!!lm3 oarhn Cny rd Couhiyio dd uF,n rlr
<br />alrrr rtrr(rr(lp'rt). rntr
<br />.(DDhoni or,tr$r \i(n rtrrr
<br />APPROVALS DATE COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL 123 -/?))e { o{t ( r<)
<br />Notes, Remarks , Etc.
<br />rldinr.on{rudt.. d hrclrv.urhtrrc.
<br />,,.,.7rl 2 -t6
<br />IDiSIG.
|