ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Bu ilding
<br />Under Slab i Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Solfit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Ivleter Release
<br />A\
<br />Rough Ll -5'ld Y-v-[1t)
<br />Service Meler
<br />FINAL /o/olt-r6>'nofit '//D ,
<br />Notes, Remarks, Elc.
<br />OWNER BUILDER DEt.CAf,, TION
<br />I lEEhy dlum ud.r FuLy or Fjurt rh.t I d.r.q tNn tlt Coddm LarnE t w for rlr folloviu E.$n tS( 701J.5
<br />Buxir! r.d ProLsirn C.d.r Ary Cny or Cddy *hrh riuiftr . Fmi t' onrur, .td, nlpmr. &mlirh or q& u,
<br />ru.ru,c,,rMlo n. irsu6m.. lls Fquim rlE.npl.!nl rd ru(hFmrir b fik o $8Ed srrr.Enr rh{ lrorslE i la..n€d tuNdr
<br />ro rlE riovnionr olrll Cont8rm ! Lidnsn L.* (Chlrtd 9. Cohraing wnh s(rirn 7uD of Divnon I or rlr AusiE( md
<br />Frot (in\ Cod.) or rhd lE or rlE is .r.,ri rlEaaron (n rlt b.rn fo, rlE rlk8.d .rd!ri,n. Any valrn. of S..r ir 701 I 5 ht .n,
<br />rrplic!fl n), r Fnir ruhj.yk rh. appli..nr ro . .(il ,.rhy or m' frft rhan firc tu&.n dousi (t51D)
<br />_1. N oed ot rlr FDFriy. r, my .nvloF. ea'h wrSr\ !r rlEn $h 6qxd$n. wil &r rlE 6t .n di rdt* i! Ei
<br />id.nldl nofrddf .L (S€ ?044. BoiBs.nd Pt Blhmcodc Tlr Co rdu\lir&tiw&xrd.rplyro.nowFol
<br />rlE lroFny *lp hiil& d IqmB rtrE,., .rd stb dcs sh s,* hinr.lf .r h.rull or thnrth hn or ll.r oM .r?hy..s,
<br />pmvit! lhlr.Eh lqmmnk m d liqnnGo&{dixsL.Il h,*ffi. ll. b{iliing d itlnEm nnld*!hinmFs
<br />or ol?tiin rlE oeE auiE ei! lrE rlE hrhn ol Fonn! tld lE c t! dil nn tliE q inpibE dE FnFry ftr rh F,po- or
<br />-1.
<br />.r oqE olrlE rmFny. .m.rchriEly mdrrhs ,nh li..nsd o'11116 ro 6Nrd rrE FDF tsa. 704,1. BurilK
<br />ad Aoiynn C.iL Th. Conrrdolr l-a.n& t * &i.r n'r +,'ly to d oxE ol FrcFny wh' noildt or in9oEr lnd6n,
<br />rnd wh, snrat rm.!.h lroFr *nh r Co fttAs) liusd l[^unr ro rlE Coirrid\ LirrE Lrr)
<br />I d ctctrrpr un&r S6rrr
<br />tlaxf,t&tj]aMtEa$r!)!
<br />IIIiCIAEAIII'I
<br />I lEEt'y rlltmu.&, JrMlr, nl lErrury !E otlh. nnl'*nt d(lmlhn(
<br />-l
<br />hrvc an will di.t.i, r (.n'f..r. of ao.c b S.lr-lnru. for qtrlss. onlltnr.thn..r pltviLd Io, by sdnn 17(I,) of lh.
<br />trkr Co&- fr rlt F{i,ffn. of tlE Nlt fr rhkh tlE Fmir ir iriEl
<br />l h v. trnd will nui nr w rlcrl conD(ns0lion rtr\ururcc. $ rcquirc hyS\.'ti(,n:lTtDul rhB l$o.(r'dc. for thc PcriornuNc ol
<br />lh. ro* ntrrhahrhi\ D.mxr ilss.i My*o.ksi drmpcn{ri'r inrurftc.ar$ r F,lrynun$..u.
<br />-l
<br />ccnrty rhlr in rhc Pc,nnDrc. otrrr wo.k ld wh*h Un p.rmir t ilru.d. l.hrll ml.,npl,y!fly t'd$n i. !n, m.mr
<br />sr ar io tt$tr rut ..r lo rh. *r'*ar'(,nlFMli.n bws .l ( !lihmi!. nrl dsE rhri it I inouli] h..om rlhfd n, rtt
<br />rrdd..rnqEhrhnpNvN$n.olS.d$.17(DofrlEL.trr(idclrll.ll.rdhrnho'qry*irhils.F)vnbnr
<br />l u ni q.tr'. rorhn rotr,p.tr\xr , u Lrrulr ^ dnl,'*rtrl r d.lL' I.uhl.(t. , rn,||,,'t, r'
<br />o.x hundrl\l lh,oq,rl dollm (of coi{rn{rhn. \bDs.
<br />h. litrr(irl.'nrcr.!rBlIt
<br />I hcrchv nllnn urld trnrlryol tf, rjury Ndutr(ler |[)vi\itr].1(hrfl., !)r.o'nnrn.rNsihS(ri,
<br />of rrr Buvms\ rn Prefc$nr Cod.. .d my li.c
<br />*,, Lt'-s
<br />'Z)lr"l
<br />lh.Eht rfinmxBlr lrdrlrtor Frrrr\ r
<br />r\{u.al lte. l(I)r. ( rr C )
<br />rRti,n Elldinr.icNy n{ rls n ralrllr'm of rh. rMl nr xtahihii rEmn t
<br />ATTLIg/ ItrI.DECIJSAItrIN
<br />I ffi, .nm ldd FMhy ol Frrury oE oa llE nntl*ins &rLr.lint
<br />Dcm,lirhn P$ru'.-Asbcnor Nolifi.llnrn kdcrulRciuhlbnr (Tirk 4{). PM6)
<br />_R.qrn.d 1.I., of f*rifEli{
<br />nlr.tuhlion\RSr,lirIrnr{o\r.nrtrrlrr trorrmlicahl!.r,rhi\t'nil.r
<br />vc E d rhis ltdi.rbn .d {d. rhlr rtE rlb}t infoldrr ir (E d I r8r kr mndy rnh.[ Cny rnd co! y
<br />:''"ry:K.7
<br />c lrss mliry nr huiltlins .
<br />rDDlcrnl Dr {p6r \hMl|.. (,/ '-<-r'.mr!.. Dftrtln',r/ - )\,Vt-^outl0tt+&
<br />DATE
<br />Communications Cable
<br />Sub-Panels
<br />l" \./
<br />II
<br />I
|