|
COMMENTSAPPROVALSDATEID/SIG.
<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 />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER n,Ljt
<br />Transformers
<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 Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release h-3-)
<br />Rough )-71-'I
<br />Service Meter ,-z+t\
<br />FINAL
<br />Notes, Remarks, Etc
<br />OWNER BUILDER DEI-CAR TION
<br />Ihg.b, fm ur& porlty of Fjury th, I a 6nnF too llE Co'rr.d6 Lt.* lrw fo. $c litUowiry lqjn (Sdroll.s
<br />hlird rd ftofBn. co{r.): A.t cny or count whih 6q!ia . Fd. lo odtod, .lq, ita.ove dmlii or tq, n,
<br />yrudEe Fs ro h! iw.. lLo Equc tL Fpla&r for sh Fin b nE r .ticd ridE lhi lr or !n a li.q!.d p$dr
<br />ro rh. FolirioN of ttE Conrrrrd r Liccn$d Lrw (C1qnd 9, Conici.8 wnh Sdtion ?0{0 of Diviiion :r of lh. Br.ind ad
<br />Profdilo Co&) q thd h. or rlt ir 6@91 lh6ctoE.,xl th. t.n for tlE.llqGd ddFaot. A,y violdior olsalio. 70ll t Ly ey
<br />.cplidn for. Fni sbi6l. tlE .p?lid b . civil Flny of mr mc rh., nE hui&.d &,llr. (!Joo).
<br />-t,
<br />s o\ffi otth. !rcDdry. or 6y @Dlor6 wnb wlsB B th.n $L onFsaion, willdo ltE *orl !i dE gMG i3 tur
<br />iddd.d d otrq.d fq rL {Sa.7044, BGir Dd Prola ioB Co&: Tli Codr.cld t tj.qB t& &6 no{ +Pl} lo ! otrG of
<br />rh.FlFir *,lDhill iqDc thdail. -d *ho 116 n + *dt hiNlf or h6xlf or lllrusl hi! d hd orn opbtq
<br />roviLd rhn sh ihlroElEfu c d i dld.d dofirrd lor rL lf. fiorBE.llE hir&t or nrpr*ffi i sld *ini q. )w
<br />ofcor'plriotr tlE O*nd Aul& *ill hac llt hd6 ofFviry thr lE or shc dil ml hlild or i,prlE UE FoFly 6r tlE F[poE ol
<br />-1,
<br />s o1,F of rhc prDFr. M .r.luit.ly codrelinr wnh lic6u.d co'nrar.B ro .o6ru!1 rrE F.j.cl (56. ?04.1. BdB
<br />!d holsion Cod. rh. conkdo.r Licd4 LlB d.a mr .pply to e ow.6 ol FeFr' *ho boil& or imProvd lhs@n.
<br />Dd sh. @ffit ftr sh Foixrs vnh. Codrdo(r) li6.d F4d ro ih.Co.rmlr t Li!* lr*)
<br />Drt.: Oxtr6
<br />*onI(Fas (rwPr-\sirIoN
<br />DECIAIAITO!
<br />I h6.b, lmrn und6 l)gllty oa Fjury on. oa'h. follo*ing &rlad ioN:
<br />I h!!. d [ill tu! .i,. c.n,ftd. of (-oEn ro Srll.l6m f.. *sldt n nFnerid, s Fo\iLd for ht S€lbd ]TOO of llE
<br />L,trv (-od., for th. Faolllec of lh. Bott fDr *hth lh. Fnn ! i.qEd
<br />-l
<br />h!r. &d vill a.'nr.in wortdt cosFrtirn iButff.. s ..qut<d br !ElF, l7m olfi.Irbor Co{L. fot llr Ffol:l4. ol
<br />rlE @t f( *tih Oi FDir i! ier.d My wto' otrpdMioi 'n'l]je. ffi ad Flq nunba e:
<br />nt 3A?1a'zolx u,,,-"l- t5' zot 1
<br />-l
<br />.di& lnd in rhc pdfotu. otlh. wort lor uhich lhie pdmit i. isu.d. I rh.ll ml oIploy d' pds. i. u, ltltr:E
<br />s 6 ro brotu sbcr ro rh. r$rld'@nFdhn L"! of Cditmitr dd.sc rh, if I rlhuld b..om tlhicl ro llE
<br />Nrt6 @mF!.rion Fo\irbB of Sdion l?m of rlE l.hor Co(k I itlt. aonh$nh onP, $hn lb* Flvind
<br />wAR INC: Fnlm lo su. *ortd mhFEnioo ord.s. i! unLatul, sd iEll $bral d anIloF to cinird Fulit &d
<br />cni [n6 up ro oE hldEd rLed doll6 (tlm.('\xl). i. .dd(io. ro th. co{ or codFBdion. dm.g6 ! FoviLd t( llt
<br />s.dbn 1076 oarn l.t.rconc nlqd dd ddEr't tGq- L<- /,1
<br />l.ll}.]rEll.Jll&(raBllLrlll&ruar
<br />I hdrby ,nim und6 F.rll, or Ffjury lh.l I ffi li$r.d und6 F.liion or OrFd 9 (mm'fficins q{h Sdbn 7000) of Divi.ion l
<br />.t rh. llBi]B i.d rtoisrnB Cod.. !n nry ltarjf ir h tull forcc .n .fr*l
<br />lotl tsz/
<br />z3- t1 .*-"...t/r sion ksiiil;"i C,r-,ft"
<br />ralsrf,lcrolrllglq-acfN(}
<br />I lE$! .,Im urk D.rrty of lxflry Oa thd! i! r odMbn lddins tsdy hr |h. Fftr1r4c or l|E trld lor *nah rhit Foi it
<br />Bu.d lS< 1097, Ci! C ).
<br />afrll(A!1lll'lJaalrox
<br />I hg*r .rm u.d6 Dorhy of pGjury oc of lhc folh$ mr ddhr.' bE
<br />Damhion P6[irl^tb6rG uorilicdion Fcda.l R.guLrioc {TnL,l0, Pd6)
<br />R.qtrt.d Ldrd of uotifi carhn
<br />-l
<br />rdiry rh, tlE f.d6rl rcsuhrF6 rcsrdinB sbdor r@\ n r. mr 4!l{.bk lo tlu FoFl
<br />t\.srcto m ply*irhrll( ilr.nd (ounty
<br />n6 olrhis ('ny.d Coudy'o d a uF.tlE
<br />D.,. q-L3'/"1
<br />-t
<br />t
<br />Irf,URlllwhy/
<br />ELECTRICAL.INSPECTOR RECORD
<br />t,
<br />tt
|