ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE COMMENTSID/SIG.
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER q u \Al+L ?
<br />Transformers I
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners I
<br />Roof Top Equipment 4 ,L '74 bA+r 7
<br />Factory Wired Unit I
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Bouqh
<br />Ceilings (T-Bar Rouoh)I I
<br />Meter Release )L 2l D a*7ll
<br />Rough
<br />Service Meter Ir
<br />FINAL l+0 1A \7
<br />Notes, Remarks, Etc tt
<br />I)I\IT,R III II I'I:R DLI ( \R\II('\
<br />I n Eby lrrm u'rlcr pcnrlry of lfjory rhlr I o.icnp' f6m tlE C.nltu6' Licns trq lor llt folk'*in8 ,t&n lsd 7Ot .5
<br />Buiifts ,nt Prorcssbn Codc)r Any Ciry or County whth rcquiEs r Fnil lo conndd, !lln. inl}rovc, &ellrh or eFn .n,
<br />{rE!@, pri* ro iri isll're, o EquiB tlE +/tr! lor rxh Fmir ro 6L r siSncd rrdcn rhal h. q {E ir ltrnrd pu.erd
<br />ro rlE FDynirN ot rh. Coorr*tq! l,icnrd l,* (Ch.pic, 9, Conmmn8 Eirh Sclbn ,0(I) of Divilbn I ol ll! AuriElt r
<br />ProLsrion! cod., or lhd lE d slE ! €Er{'r rhdlnlo ]n rlE b.st for rl! .lLFn crdrvrnh a.yvioldi'.olSdi,.7oll5 b, r.,
<br />.n[ti.d ror . tEmir dbFt! rli rpplic.fl ro..irilrcElrydrmr mEihsfir h{dH dollK ($m).
<br />_1, !s o*n.r of rhr pn,Fny. or ny cntlo)e.s wnh wd8.r I rhcn $h con{Ens.lion. sill do tlE ert lrd tlE srL16 i ml
<br />inr. ,.n or otu tu {L (Se.?044. BuriEs ed Ptofcsiod Co<b, Tlr C. ar.a. tirnr Lw &'.! ml {,ply to .. owB or
<br />r,E FrEty wh, bollt or i,tl,oG tlEs( !n *b &E Bn e* hiBlt or ,EElr or rhblgh hn t ts orn .nphyet,
<br />prorilcd thd 3kh anpro@ns d d irdd d otu r.r rE. Il lbM. dE hriEin8 d irtFftd is $ld ,anin oE Fr
<br />of.rnpLrb( dE OwE Bule wnt h( E hldo of Fswt tL lE * tr dil mr hild d itrFr l,r F!Fr, fd rh FrFi or
<br />-1.
<br />trs o*rcr ol'rh. ,fl,pcny, uncr.lusivcly contreliq *ith li.cnscd conrrhxro conitur rtr J)nFt ls.c.7044.liunnc$
<br />&l tu,tsir axlcr'rh. conrB( \ l-rc..s. tr* dEr nn .mly lo e owncr of lroFny etr huilds or irq,,otr rh.(oll
<br />lnd $ho mn'Mr for ssh lroFl\ *irn. comnnrln lt.trrd pu(uJn ro dE conllxror'1 lrt.- Ifw)
<br />I d.r.mpr u Lr sdrion
<br />Del.: okmr:
<br />wonxrr,i' rrrtrprris,trrrrn
<br />IECIABAIIII!
<br />I rErcbt !ftrm u*ld ,Erhy ol lEtury oB of tlE folbvinS &.Lmlbn!:
<br />I tuw rn will trinr.in r CdifEdc of Conenr ro Sclf ln E tn wl6'odlxN.rbtr. !r Flvirt d for by S6rD.]7m 01lh.
<br />lrtd Cod., ror tlE Frfol1Mc orttE eolt for whth rlE Fnil is issEd.
<br />-l
<br />hav. lnd vill minroin sortc^ comFns.lion insuBEc, c rcquiEi b, Sei i,. l70O 6r rtt ljbor C.d.. lot rh. Fnornm. ol
<br />rlE *nk for whth rhit Fmir i5 isxn My *0116 on9cEqrion iNulld .lm. .d poli, nunns e
<br />_l ceniay rhtr in rlE p.rrorm . ol rlr Md f.r whih rhn p.rmi is i$Ed, I lll mr .n0loy !n, pcBn in .ny MEr
<br />s ai b b.€m shFr b rlE wrtda on{EMion hwr ofcdiromi! !n l3r rh.l it I ilFuld tEa$m subr.it h rlEqi*s omFurb. tm\irioN ol Sdan lrm ol rrr l,ln C!d., I {dl. ldin}'th 6r{'ly snh rbs Fovtirs
<br />(10
<br />,7;41*1 'T*,,
<br />q 3z lsl
<br />1,, / *'t-'*"N
<br />lj(trarBucultalrBlatu$Edcr
<br />I lEEby .rrm u.dd rEnrlry or Firy rh{ rtE i. r ocrMi,n Endi.!.!try lor
<br />'lE Ftre oltlE hrl loi *tih |tn Fhi i!
<br />i$Ed (sa. 1097. cir c )
<br />AIIIJII\NLDECIJSAIIII!
<br />I hcrt!, .trm u,xLr Fn t, of Frlrry om of d. rolb*in! &rLnrio.s
<br />D.mhior Pcmil!'Arltrros Noriarrrirn fucd R.suLriinr (TnL:lI), Pd6)
<br />Rcquird lrncr of Nodfrah.
<br />_l.diifr rh,r rlE t rt rd Esnldnd rgding.sh.ror Emr.l c mr cpplilbL ro lhir prcr<
<br />I rd,fy rhd I lEr Etl rhi {,plillEn ud !llt. rh.r rlf.lr,w inrbrn[ion \.olH.I .3r !o rstr'pl, wnh.,lCiry.d Cou y
<br />odi.oE* s,n Slirc u*r Etarins ro tiriU ins conrturion- {d rEEby axrtbM rFE€ddiB of rhi. Cil, lnd Counly ro cnrq lFn rrE
<br />H::J}[4;9alul-.t
<br />'t /L'1/zt
<br />,El
<br />,
<br />I
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<br />WARNINGT Fdilurc h s E eolkcF conrrnsrion ovcn3c is !nlr*tu. .,,1 rhdl rubFl d.trploFr b oniMl FNhi6..d
<br />civil lin.s ut lo orc hundEd thoulrtul dollE! (tl00,0ql). in lddnnn b rhc.orr ofcunp..ern,n, dm8cs .r rrovid.d for lh.
<br />S(hn .1076 of rlE Lrhx Cod.. mkrr r domy rfN! ,-2rhr.:7/v'llrt ^;d Z:-
<br />LICFI{IED CONTNAL'TTII
<br />!ECI4f,AIIO!
<br />I h.Eby lffrm und.r FnalryofF lury Ihur I am liansn utrd.r pmvhkn ofCnqrB 9 (6mftncin8 wnh sdirn 7u.n)orDivision l
<br />o, rh. Burim( .nd Pt$t sio.s Crod.. rd fry licnE ir h tull foE ard .llkr.
<br />knd.r'. AddE$
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