|
ELECTRICAL-INSPECTOR RECORO
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />ht 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 lz4d-11 x{I-!
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />us h)
<br />Ceili ngs (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Roush JV',14 1-7-1011 X.\IJI
<br />Service Meter
<br />FINAL lz.to-A
<br />Notes, Remarks, Etc
<br />Ol'VNER BUII-DER DELCAR TION
<br />I hd.tt llfm u.d.r FEh) ot rEjury lhi I m d.oF nom rlr (-otudm Lite tA ror ib. aolh*i.B l6tr (Sd 701I t .
<br />Borr* .nd Prcf4$n Codc) Any (
<br />'ly or Counly shich r.{uir6 . Fhi lo coNld.l, .hc. inFov., {tamltfi or l.p.r mt
<br />nrudue Ftu 'o
<br />tu iMa lL. r.qliE dE +tlt.,n h, och Fnn 16 nh, slsi.d drtur thn lf or J. a liGB.d Fru.,n
<br />to
<br />'h. Forsio6 ol tlE Conlc|d i Li.6!.d t:s ((]qi. 9. Com*'ns trnh S<rbn 7(m of Diln.n I of rlE B$il6 'liPmlcsioru Cod.) or rhlr hc or !h. ir .x.npt rhd.ftoh md rll. ballr for rh. allcs.d qdFiron. Any viobtioi ots..lm 701 L5 t'y Ly
<br />arplic.nrfor.Fni'rbt6Brh.@h.dtro.cniltErhvofmrmrcrhan\.hundrd& ldf!5m),
<br />L a ow.d oflh. F.psly, or ny dplo)E r h \rns6 8 lhcir $1. compd$lion. sill (h llE sort md fi. rME is ntr '
<br />i drLd orofiacd aor st (Sd 70411. BBil6 ud EDIBhB Co& llE Coitoctoir I tc |ls &6 ml tedt lo e o*F of
<br />rh. Fitdy tr rF bili or EqDr 6 dE6( -d $ b dG ern $ort hiN.lf o, hdrlf or lhmu8h ha ( h.r ora anrt lc,
<br />pro\ id.{ rhll i!.h iml'uffir e mt mrad.d .r orE d fi, Blc ll tb*6s, rh. hium* or imln(ctrd ir sld wnni. on. yw
<br />orconpld6( llE O*G Brilb trill lEv. llE tr&n ofF.riig rh, tt n !h. dd hr tliti or i,r{frrc dE F)Fty tu tlE rDrFE of
<br />l. ao*colth.rmraly. a.rctun.lyconrnlrlg wirh lic.6<il codrdoolo odo.i tu Fnj<l (56 70{4. 8$d6
<br />.rd hD*snr Co<t : Thc Conr.roi! l,(.M l.s dG mr qh ro d o$nq of Fopdt $tb tlrl.tr or inp.ov6 rha6n,
<br />6d trho (r dr tor ruch Fsj.(s snh . cbdndo(r) li.d&d l'unuer to rh. Codr*lor'r I-icB l rw)
<br />I m croF und6 sarion .lt &PC fo, rh6.a)n
<br />D.r.: Ownd:
<br />It'otxrns cot[pmslrtoli
<br />OICIJAAIIO!
<br />I hs.nt ifirm undd Fnrlry of Fcjo.y on. o I rh. nnb{ins ddldarioro
<br />- Ih.r.!drilldi in ! ('difrd. oacolg! h s.lf-lBur. td *nld' mmpnsa.n, a Fo\iL<! ror by sEtFn 17(, of tlE
<br />Libor (tde fo! rhc pqfolrjffi. of ih. mrt for {ii.h thc Fm't a isu.n.
<br />I hA. lnd f, rll md.in sorlo cootF8.ri,. iMmc. s r.qur.d b S6rion lTttl of lh. trbor Co&. fo. tlE Ft(ffi. of
<br />rh. work lor which rhir lE6ir i is.d M, wort6 mslqsnion iNuffi. .niq sld policy numb6 Ec:
<br />,.n, A ln-Cficqrl 2t,f tCL
<br />"ou.,^-oo!&fc bYql*n ;.;_|!llo
<br />I cditrhr' in rh.Fr.m.N.oalh. $ort f.r *hth lhs Fh n isc( I !h.U mr dploy my Fer in uynuF
<br />e a lo h..oft subjel lo lh. wortd comFB.lio. 1,"! ofcrlifonL od 4rE rhd il I ll!.uld tEron. robjd to rlE*od6' .o,pslrnnn Fo\ilFB of S€lhn 17@ oalh. L.&r coda I rlElL fMh"th omdy tnh rho- Fori!68
<br />WABNINO l;iil!r.lo su. norkqs c.'npNrnrn .dl b ubwadl. !d !tull 3ubj.{ dpl6F ro aimin.l Fuii! d
<br />cnrl in6 up kr orc hundrld rlFusrd 6116 (ilm i. .ddnbi b rlE .o! .l.omFMiol! d.n €€ a Fo\it d t6. tl,.
<br />2
<br />I hq.tiy.ltm uid6 FuXy of Fjuy thi I e lEsE d urta Fovirbn of ChrFE I (mffiiit rnh Scri 7000) ofDivtirn i
<br />of rhc BUIB rnd Prtrt6io6 Co&. id hy lkoe i! h tull foE,n.ft.r.
<br />L LC2 q7)1lQ
<br />LTzr/ k1 De11ysf L3.S,-S
<br />I hdrb,.trmt da FMn,ofFJry lhl
<br />iiru.d (sd 1(,7, civ ( ).
<br />ld'dinr ud! for lh. psfm. of rrE tr.* aor q hf,h
<br />'hi! Fni i
<br />APPLICATTDi(IT{ATION
<br />I hod, a!',o u.dd p.ioh y or psjury orc of rh. followirg dqlmrion!:
<br />Danolni)r Fmir!&b6rd Norifrnh. F.&d i.BrLim(TnElo, Pd6,
<br />i<luir.d l,cxd of Norificlr0n
<br />od Courl ro 6rs uFn rlt
<br />ulzrle
<br />k-u/v)
<br />I (dliS
<br />'h. 'lr er9'l E3uldbB E3dq 6hdd rm"l r. d 4pl(rbL '. rh! Fr|al
<br />l) y
<br />, ..,t, ,rra\...y'*u rrprr.rhtr rd i!t. rh. !h..ts\. rrorunn s c.Ed I .s,e !o s'qrl
<br />odM6 &d Shr.\Ir ELiry h hrildqr .otubtr nd hsalD rdho@ r.r6srrn 6 of ths Cn!
<br />.hot mntoxd pro1f,I}6r Bp.drn Fipu6 ,,r.t A V
<br />^-*.,*^,-/"r-,'*,/ ?Pllq- 2 D,.
<br />*-u--..hr,*z( D-qn;6 | larqaS
|