ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Lite Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor t^l A,/n
<br />Bonding / Grounding / UFER q'v#t rta{4 ho
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouqh)lt t .Z
<br />Ivleter Release Traq'n{tw.th AA
<br />Rouqh
<br />Service l\4eter tl I I I .t ,<,Ifu,lN WIA
<br />'IqNNotes, Remarks, Etc I
<br />owNEt Bt,ll.t f,x DEL{ttaTloN
<br />I tErcby rlItrm uftis F hy of pcrlry rh.l I 6 cr.r{,r fFn rli Cqirrrd Llccr Lre to, ih. folh$ine a$n ls.. 7ol I t
<br />Burincs ad Pror.shn CodE): Any Cny or A,o.ry whrh cquiEs . Fd 'o . nrrud. 1116, impmv.. &mlirh or EFn xy
<br />sru.rurc. prkrr b irr irrum., ala, rcqut.r Ih. {plic ! fn ruh lE.nnt h filc ! \i8rcd \lalcmnl ltur lr or slE i! li..n$l pur(ul
<br />ro rhc pmririonr or r}t Conrturo, \ Li..n*d Lxw (Ch!pr.r 9, ('r,ftnrEin8 wnh sdli,n 7000 ol Divniotr I oflll. Bu\ircs ud
<br />th)rcisrtrs C,&) or 'h, h. G slE t .r.iq,' llEEfrom ud llE h.rn tur tlE .lLltd .ErIrhn Any vrLlionofs.di,.70ll5by..y
<br />rmlkad (or a n flir rubFlr tlE .rrli..nr ro ! .ivil FElr, of mr mE thd lir. hInlr.d d6ll{s l35m)
<br />l.is orFof rEIFFny,orny.mploFca*ilh*asc\.rrtEt$LrcfrFnd5n,s lilorhw*rin*rrll1fuirB{
<br />nrc lcd.rorLr.df(reL(Se.?Ol,l.Busim(MdProfcsii'nrCodcrTh.Conlftt(r'rLtcnEL!*d.xrmllllplrrouowffiof
<br />rhc rmneny who &ildr Dr nr{mts llrNn, !,n who des {.h klt him{lror h.tulrnr !hb!8h his ot h.r own.rploy*r.
<br />thrid.d .hd skh n{mwnE.r. G mr i .nd.n orofiftd tu sL rl, hov.r( th. hrildin8 or iqn'kmnr k sld sithin oft J.u
<br />ollnllpLli,n. dr O*Er AliBd wiu hlE rr t rlcn of FtrinB rhc rE d dE dn mr hill or inpmt! lrE IF,Elt for dE FrIDr ol
<br />I encrcmpl u"d( Sdion
<br />l)rr. ()in.r
<br />MAlil;&rlrlufrstlrtlJrIII!LI&II]aI
<br />I l(rch, !llirn utri.r trnrlryoit rtrr).'h ul rhe lolli)*trU J..lrrrrtrrn\
<br />_l hov. lrl qillnoinrdin r CenirE.rcrfQ'nsnt ro S.ll ln$E for qnksi oq{n{rion. ss Frvit d r(, bySdion l7ffJ nfdr
<br />lrh, C.d., for rh. Ffo,ffi ot rrE urt tu shrh rlE Fmt ! i.ru.i.
<br />_l har !'n s,ll tu'nhin *ortm .otrFnsri'. irurE.. r\ rc+,Ed by Selio. l7m orrll L.lo. Odc- for tlE Fnolm ol
<br />rL hrl fd rhih rhn ltmii ir i$!.d Mr eork6 onFndi,n 'nrurN tr.r .d JElty NtrrlEr c
<br />_Errn.r:
<br />_l enify rh.r i. rh. Frao'fr !orrh. *ort tu *h.hrhr Fmn n 6sEn.I tullmr.nploytny p.mn in.nyruE
<br />y' 15 ro b.<.m rubFr b rlE *sld{ $n{Endion Lwr of C.lin,m[ !n lsG $c if I rhould bcom .ubFr ro th.
<br />md@6 cohFns!ion pmvisions ofSa'ion ]?mortlE Llhtr (inc.Irl{ll. iodh*irh.or{,y sirh rhrr tmvnrN..
<br />WARNINC: liituE lo Kr wrlcB'
<br />.ivn fircs !p ro ot hlidEd llno{n
<br />*Lrrn 1076 of rM l,l. C.d. inr.d
<br />D.,., ra- I\ -ZoZd
<br />{qEnssrion olcma. t unhetuL md $rll Nhj.{r r .nq,['Fr ro Finiml p.r!B .id
<br />.blh^ (Slc0,u)o,, i" dn!,n ro 'h. coi (r mnFErion. drm3.s r provi.d nr ilE
<br />rnd ahdY't fB
<br />t,/ / ./*
<br />e""umr, A 7 tP
<br />r r6lEn crrnrrec-u
<br />DEIIJXAIION
<br />I h.rcby afirmrndrr Jf,rulty ofFrjury rhrr I am lienql utrdc, In,visb.orCh,pro 9l.omtrncin8 wnh sdrb.70oo) ofDivis6.l
<br />or rrE Bu{ir\r lrl rt,rcsrioN Cod.. !n hy lacns n in tull tuN &n cfi(r
<br />\o
<br />-Lir*Numb.r
<br />lo-llli(?
<br />.*,**.t<{.^--.' '+
<br />CQIEIAXITOITIEDAG-AIiEICI
<br />I rEEby.rf,n unLr FMly ofFrrury tld llE tr torElErb. l.tniI! rtst for ln trflre orllE ktr to. lhih rhi. poml i!
<br />iiru.n (sd. I)97. ci c I
<br />AISJIIINI,.IEC'TSAITQ!
<br />I hdd,y .frm rftLr Fnrky of Frrt oE or
<br />'lE
<br />lolkuint &rll,d bd!
<br />Dcmlnion Pc.nilr ArlE(o! NorirE.rion Fqlcd RqllLlEnr (T L:(]. Pf6)
<br />_Rcquncd brr.r ol Ndfierion
<br />t ccni,yrhllthl lcdcnlrcElhlion\ rcS&li,r! a\h.d.\rum,ulrrc ft Jtflf,dk r) rn\ Prurd
<br />_l.drfyth, I hrv. rc.dfiB!t lrdr
<br />,,{mmi rln Srirc lj*a EhtuE b t0i
<br />dtbk mmilmd on,Fny lor insFcri,n
<br />bnln s.l. rh.r 0E.how i omdion nconEi I .xrE lo onply *irh .[ Cty !d Ca ,Bi!!co.nfuG rn lErb,.ulbriaEpr.crlrri6of thirCiy.dCou,lodq'{Entlr
<br />/l\
<br />-
<br />/ Der.
<br />-
<br />'\ppli0trl or.{xrnl SirNltrr.r
<br />P.mire @{pn o. Eol- ^441 C
<br />I
<br />II
<br />aFINAL
<br />_ L d o*rcr ul rh. FrFny. am crclln\tly ..nrdm8 *rh he.sn conrr.dm io .r'nirucr ttr I'rFl ( sN 7ol.l, aBFs
<br />rl h{6rii cnd. 'rhc Conrnci(tri l-i.cn\c li* d*\ frn !ppl} k, u osncr ol pn'Fny w}F buildr o. rml)r,vcs rheB,,.
<br />on *ho conko.rs tu such Imlccx wnh 0 Conrradonl) li.cn\cd pu.suur torlEClnhdoi\ Lhcn* l.uw)
<br />Cui.r:-
<br />Rov oB'0
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