ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMEITTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding i Groundinq / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Rough
<br />Service Meter l- I -,IF|NAL I l!t) lq rOw,\L IN
<br />Notes, Remarks, Etc
<br />oWNER BUII,I}']R I,EI,(- RATI(}N
<br />I n.khy rtfum u cr IcMIry,, llcrlory rhrr I dmc(mpr lnm rh. (i)nr!(kK l.ictr( lrw tl.lhc hrl.viry rNy'(SeTlll5
<br />Blqtr$ urn Pnn.(r,n CqLJ An! C y.! (i'unly rhi(h r.rtur.. r InNi t' (rnnnd. ilrd, rtrtt,k. &.rr6h ot 19( ,nv
<br />(tulur.. Frr n' n. rru. ., .la' ,.{uB tlF .|'?lf.d f,tr !r'i Fmr b lik a \l8R{ nimnr rhrt h o. rlE F lrr<J pu{ulr
<br />n, rh. Ir,rrx,n\ ol rlr Conta(tr\ l-f,.nqi I'* rclufl( q. (i,nmn{F rnh SNirn 7(tI) ol l)rvrDn I ol rh. Bu!*$ rtol
<br />Fn'l.s(rn\ Co.l.) or rhI h.nrrh. r crcmrr rh.rcln,n ml rh. hilr ntr rh. llkrcd .r.nDri,tr. Any vi,,kr i,,n nf S.dr{ 7llrl.5 $y rny
<br />apirl( rnr ntr r F.ni {rq.( B rrf, .lll'lEanr r, r (rv,l Fnrrr y ol nn mtrc rhitr h{ hu'klrrl Jollrs ( tJlxr)
<br />_1.r!owNrsl'h.F'Fdy.r*ht.rfloy(r*[hs.l.t.trlIrq'kn)m|xnarrr.",1'irrsrtolrraqtuim.rn
<br />d.triAl nrolt.r.i ntr d. (Sa.?1,,1-t. Bunm(rtu, Pn{€(i'n{ (iilc ln (tnrr&kr'r l.f,.n( l:*Jrr\n{ +flyr..nDvBrol
<br />! hc ffl'Fnt wlx' h itl\ or i'nnf,,vcr rkfrrn, n, wk, J,f,\ {rh kl* him\.ll or hcr{ll nr thnnrSh hr .r tf, r nwn .mlL,v.g.
<br />IYsrrlcd rh,r !u.h hln'vlfidr m di iddLJ r or.rJ l!{ !L lt. hrk\r. rlr li'H'nr nr uqmrtrrr N $U *rhrn oe. B
<br />or.trt{xih. ilr ( )wFr BU $.s lh.rt rlr tkLnolF,vns rhd hor{rJri n{ t $ or qbw rh. Flrny ntr rh lrrF,sor
<br />_1, r\ owmr trl rlk F,n ny, !fr .t( lusr.ly onr&rht wirh lr.!i(d tod r.dni\ n, ( on{ruel rh. nn,F1 I S.r 7044, Irutms
<br />rnl ,hft.ru (-,*h fhc C.nkr.n,'! l-r.nr. l.rw Jm\ nn 'mlv t, i s*i.r of ,r.t. v wh, hu rur or rqB'v. h.r(,n.
<br />rnJ rtxr (,d h r'( (uh F'Fi. w h r (isrnrhi lrcn<{ n{rud n,rh. cid'rnx,1 Li.nE lr*'
<br />I h.(hy ilr'rm ukl., l.Mlryor Fry,ryom I DtrLl!<tlr!
<br />I h.r. drl r rll mrdrr . C.nn r.lt ot Con(d li) S.ll lniurr f, s,rt$'.oqrnd$n. r! IrorrLd n* ht Sat'. !'i(Il.]rh.
<br />Lh, (irk. nr rh Fn(llfur ol rh. sft nr rtrh rh. Fh r s\kl
<br />Ihrv.rtrJtr,llir n.m* Aer. omFtr{rs)n n{tritu.. N rlute.lhyS..rion l?(,lror rhc I-alrt(inl.. Lrrh. I<rldmun(.'n
<br />rhc *orkk{rhrhrlNlrrnnr r\r\ud Mvw kd( nltF ir!'nrnstrrn(.(rrcrarlF,lkyntn,h.r!r.
<br />_l !.d'ltrhlr ,nih FrfDrtun(ol tlE worl n* uhrhrhr Frmt 6 !nht.l.hrll nn cqfiy.nyFMn n.nymnm!
<br />r, .rr, h.u,m suhr1r h rh. *nts .onqxnsr$n l,x ol (.lrl mo- mt:!N rn! 'l I !h!!ll l&Lom iubi\1i, rlr
<br />eoll(( conpcnrd !,n pm!trr,nr ol Se.'r im l'7(tl .r rh. Ijh, (irk. I nElL ld hwit h .osplt *{h rbe ,,n'vNion!
<br />WARNINGT llrlur. r' quF w,{lcn'(n{rnr.rk, (-!.r.a. rr unlr*lul. .ol \h,ll 1!hFt r n{L,F [, (flnnulFElrr,[l
<br />rr'l l'trr up t, ',8 hudr.J rh'u!.!n &'lldr r x,.ul). rl,llrnr n, rh. ${ ,n.ohFnnrxn, drm!$ .r Ix.\rrd ntr rlx
<br />SfLrnii rr)rh or ni.l..,r!{ ('rl. r rr.(.url.(r
<br />tI.r I \R\Ii'\
<br />I lrr.rr!,rrrtrn unl(r p.trrlrv or ti'rrtrv rh.n rm lkn<nu l(rIn,r6k'..1(-hr cr9( ntrrBrS *rh S.(rIn r(rxr) ol Drvrkr !
<br />,,r rltr lrtrlnrs .trtrr 110r.$k,tr r !tr|.. r,rl nrv l,(n\. ^ trr rtr litr(. r ,L.rnrr
<br />sqNsIxl!:IlQdrEDl&G-&g,E$x
<br />I lErchy.lltrs u.,l.r FMlyol tf,rllryrh, rh.rc n r.udto nn lcftrmS rS.hy tu rh. Frltrlrlm. ol rlr $,fi ntr rh.h rhn Fn. r
<br />Fnkd (S.(. 1091, Crv C ).
<br />APPLICANT DECLARAIION
<br />I d'y dlm unL. Fn.!! ol FrJtlry or ol I lr hlhwh! J..Lt.r $.r
<br />D.fr,hir P.mr!Arh.cor flilfr.rnn lqlc..l R.fub|r,nr (tnL40. Pn(,,
<br />_R.quimd trrl.r of l'lolitirrD
<br />I n . rhJ rhc ah'k'nr'nkrtr,r r,,.nA, l r!k- i'.ohIl)
<br />rEl Counry r,' .nrcr utx'r rhc.dn(MrrD. ,rl lrk hy autlrn'7c '.p'r\.nirrnc! tr, rh$ (iry
<br />I
<br />APPROVALS
<br />I rn.rcm unlc. S. 0n
<br />D.l.r_
<br />l).t :
<br />E3uLrDni Rglrlhf r{ti-t!r ,.nrn rl e nn {ylt.lrh I' rh\ nt)Fr
|