|
APPROVALS DATE COMMENTS
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding i Grounding / UFER
<br />Translormers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soltit Rouqh
<br />Ceilings (T-Bar Rough)
<br />[/eter Release
<br />Rough
<br />Service Meter
<br />FINAL tt/z/.//l --t lWt)
<br />Notes, Remark{ €tc. '
<br />ELECTRICAL.INSPECTOR RECOFD
<br />OWNER BUILDEN DELCAR TION
<br />I h.rcty rlfrn ld,lr FMlly ol FrJUry rh, t o cr.4r lbo rlE (t trnn L..nt L:* ttr rlE follr*la rc.1)n rsa'rlltl I
<br />Bulhc( un PIoksDn Crlc): Aiy Ctry or CNfly wh.h Equrrcr I Fmr b !nn{nd, 1116, rhF.w. .lcmllrh ot rqrt ey
<br />(rucrus. rfltr x' rrr i!\ue., .Ln, rqums rh. +Plicd ntr such Fmr i' nb r sigmd rt.mnr lh.l h. or r,t ir lf,cnc,l plru.nl
<br />ro trr F vrbnr ol tlE Ct.rh-rri'r Lx.n*l Li* (Ch+rc 9, c.,nwftins s'rh serp. 7ux, .i D'vn.n I or rl. Aurfts {Nl
<br />Pnr$ri{. C*!) tn rhzr lr ,, .lr tr .r.q,! t,E rrom Jn ltr hr! tu llt ks.rl.r?n!rir AntvnLrnnorSarrn?olLJbyrry
<br />spplod ror a n mn subjelt lhc rpthlnr x, . qvil p.nslry or nor mft rhln l,vc hu .!E,j rtrlar issm)
<br />-1.
<br />n owr oar,t F,Fnr. c mt.dlploFr s h w.rct.r ltrr $k @qxnd6n. rdl.h rlE *rri an i ddw n r,
<br />d.nld, orotcEd ld eL (Se.10,1.{, BusE( ud PF,'ir.i,ni CBt TIE (i'.r..t{\ l.r.n* tlw LtFi Ri .pnly li, u olft' or
<br />rh. F)Fny wh ho h or rtn)Er rh.run. .d etu Jr! !(h hA hm..lr r h.rtlf or rln'ugh hn or h.r own cmr ,yt6
<br />n ovrl.J rhf, tEi litNEftdt e ti dcnld doftGl tr sL ll. bM, rlE t! rytf,aFer.ritsUw.n6!EF&
<br />oru,rtihrD OE osEr Bu ls *Jl hrk tlr t ,&n orF,v,{ tlu rE d lhc di Bl1 tull or qnF ttr F.i6y lm rlt F!F: oi
<br />-1.
<br />r!o*Erol rh. FoFny. 1m r(tu{rrl} codreioS rrh lxcn(n ro rath n' onrntrr tlE F(Fr (S.r 7oql. B!tE(
<br />I h r$r, C(d.: Thc C..rrrnn 1 L(cnrc lrw rtrEs rtn +rly k, 1. o*n.r .l por..r y wtn, hr,Us ot rmPtNr ihcra'n.
<br />!n! rhr.onrrukttr\Nhfk!.cceirhr(\rnlRtonqllre.$dFuBU rn'rh.G,nt&tn'.I-f,cn\cljw)
<br />I r .\cmF ud.r s<rtr)n-
<br />!!8f,!85:.CO!ttEsArl0tiIrEcllxarlll!
<br />I hcnhy ulltrmun.lcr pcruliy or p.rjury o* ol lh. nnlouhr deLr.rt,nr
<br />I h.v. !n *'ll Euru r C.dlrur. otG,nqnt ro sclr-lNu i, x*16- $np.ndrr rs F vrLl lor 6y Sdxn !?m or
<br />'rEL.bor (iv.l., fttr lh. n.rfomle. o, rtE wMk for wh*h rh. rEmr s rru.1l.
<br />_l h:ri rni trllmdrn *.*.n oqrN.rrr ururrr.. ar rctur.d hySdr$n l7{Ilol rhc lrlrrclri., fitrlh. FntIlIr4:. ol
<br />rh. utrk nf, *hrh lhB Fm, Lr nsl. M, *ql6 .at,l!ndx)n rnrurn..urr rtl F)lNy nuttlE ti
<br />Sc!rnr l{116 .l rh. ljhtr (ixl.. mr.r.{ $d JroiNy'( lcct
<br />t ['
<br />I hcRhy {,fm uni.r lEEll y ol Frruft th, ih.R r r $hntu1
<br />t.t,,... ttl tl14
<br />r Inrlnr'n ol ('lr.Iis 9(Lommmri w h SclDnrdlol DrtrKh:l
<br />rscy lor ih. Fnim. ol rh. srt lor .u.*h rha Fm. 6
<br />uJc1o. bol>
<br />I(nrlyth.t nrh.r. orm.olrh.*orlft, rhahrhNF.nn r trskl. Ithnlln .f,fk'v.nvIERI!n ymrffi
<br />$ !r n, h.(lft !!bFr hr rlr 9olt6'oqr.qrt'n hr\ oi C'lromu, .rr.l +N rh.t I \n,u! lRom ruhj..r brh.
<br />ktrk.^ ronFir.tro. F,vrx,ns.l Sccr i.n .U(Xr of rhc Islir C,xi., I .ndl. n)nh* h (flrPly *rr h rh)* tn'vBnns
<br />WARNING: l:. urc lo sur *{nr.F'on{Ehsrr$. !r't.Epc r, unhwrul. .d rh.ll ohFr rn cn{'bF n, (rultiEl.s.,rl
<br />LN,l incs uI l,r orc hundrcd rhot!,.d dolldr (1100,flx)), m adJdn,n t' rh( ron ol $mp.nrnrn,n, 'l.ma3.r !s pn,vil.J t ih.
<br />I h.rhy rl lnm un,lr JEMIy dl F.nlryihd I u
<br />ol rlr,lr!n.\ rftl P'ol.sr)nr (i',1r, ul n,y l(.n!c I r lL'111,tr(. rtrd (lhar
<br />t',n"" Lt*., lto /z4L _LE. ( Nunbcr 11>73L
<br />t-t
<br />rskdtsd .r(r97,civ. c )
<br />l.n,lc.i Nlmc
<br />-
<br />lrnl.r ! AJdrs:
<br />-APPLICANT DE(]-AXATIO:!
<br />I tEr'l'y dtim uBkr Fnrl!y.f p.rrury oE ol rh. nrll,*rnt LLLbrri,nt:
<br />I)cnin k,n Pc..irlArlr(or Not,IMtmn FcdcrrlRe3uL(!,ns ('IIl.40. Pd6r
<br />-R.qrEai
<br />lrn.. of t*r irM
<br />-l
<br />!.nrlyil rhc lcJcrrlr.Buhr[n\ r8d ! 3\h.{o\ dft,vll rr r n.llnt'lrrhl. [, rhtr nr)).rt
<br />lrcnrly ih.t I h.v. E J rhr rfi,*{nn.tJ n.r. rh{ rh..h'r. rnn'@lr,n tr(rc(r I !8ren,onrllly*[h rllC.y.niCounrv
<br />onnndn(.slnnSr[lcliwircbrm!bhurllhS( n{ruclion, IlErchyrurhtrirct|nc(.r!rrvcsolrhr(iryan,lCounryt,cnlcruFntrtE
<br />ID/SIG.
<br />Sub-Panels c*", l^crt*^
<br />!h,yc nE.rtr'Nd th'I'.nyl'n r\t .rnn nury)<r
|