|
ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />l- o! rwrcr of I h. Irorf,n y, or nry cmploysr wirh uryc\ !( lh.n s,b conrFn\,1io.. *ill do rh. *dk {tl tu nBrE n to
<br />i.brlcn or oficitd tu slc (Se 7014, Busimsr d Profcsri,ns C(xl.: Th. o)drrbl. Li..nE tjw .!Ei ml olply b m ouffi ol
<br />r& FrFry *tn h dr o, in+{Dh rlIlq rd *tn dc uh Hrt hillMllor trflror rhough hir hrown.rpl,yei
<br />rovd.n rhd st mrr.md\edni .d.n rofr.rql t(tr qL lthP@.rlEtu lu3rEtmEr is$ll*lnhwF-
<br />oforpLrim- ih O*mr BxiU.r will hcw tlx t h,.n ol Fovin8 rhd h. or dE drl mr hlllt rfln+.oE tlE Fqdy for ttE FIFE.f
<br />-1.
<br />er oeF of tlE FDdry. m.rluriwly d"nr-l i,€ w kro€d.o'r.al6 ro Nr{ru: llt FDFd (5a 7ot4- BNilIs
<br />lld Ptrf.i\in Co&: Th. co.rtuoai Lt.ns. lj* des mr rl'llly ro u o*E of ptuFn, rho hoildr or inpm!.! rh..or
<br />..d who onr.dr ad \kh F,itrt *irh r ConrBro(.) ltdEn p6&4r ro rlx C! hdo. . Lkcnr tre).
<br />-l
<br />!n cicmrt undd Serion-. B n P C for rna\ rc.v'n
<br />l),rr (,,ftr
<br />raa5}:&tr0lttlttara!
<br />Ltl:QA&LU!l!
<br />I ltr.hJ ]rlrDutr,lrr Irtrrkyolpdlu'] o'r.lrlf, I',11,'r g Jdlrrrrkh
<br />-l
<br />&r r.d will tuior.in r C.nir.erc ot Cotrenr ro Sclaldrur lor k 16 d,d'iEniirn, as Frvitdl tor by serbn r7frl or rh.
<br />bbor Cd.. for lha pc nnEncc of rhc *o* nn *dth rhc ,tdi n i\skd
<br />'51&t E !.n *ill mur.u *ort rr' $riEEdnn isuEN.. .r EquiErt 6y Sarirn lru d, ilE t b.. C.d., ror r,E F.rm! o,
<br />rlx m rs *hit fin Fnn L iE d. M, wqksi oqn!.rirn iNrdr. ffi, in Fliy.un*Er e:
<br />.-*, (Z.J,.o.r fr.- -s- A,*\l*-ea"yr,.r*, ((aoC?tSYCV u.n,,".
<br />/SYccn
<br />rry rrrat io rm Fcrormfr. ol rhc sork br which rhr F rrr is sruL{. I shall mr
<br />v' a\ r,, tt(!m subFI Io llE wo*s. otr{Ens i(m Lw\ ol C.lifom ud r*Er!, irI
<br />*o 6 otr{E,srbnrmi\b.t o! Sdiotr 17 )olr,r Lltrtr Cftjc.l {dl.fi,nhrrhon
<br />+
<br />.mtloy lny n rson i.uy mlnrcr
<br />rbuli lrto,E lubFr ro rlr
<br />flOl, rirh rhr( tmvkh.r
<br />WARNIN(; ljrihrc ro {cuG sorlc^ @'nFnr(ion colcn,sc i\ xnLwiol, rnd \hrll \uhj..r dr.nrln,,tr ro mmitul IEMhas 3nd
<br />civil 6n.\ rn b o,r hrBlr.i rhous l dollus r,loo,mr, m BdditiJn (, rh. .o$ ol6n{Ensrxnr. ilnr3cs r\ pft,vitd nr rh.
<br />;*:4 or rhc I ihtr C{xlr. tr c,c( dt rrnn'r\'r f.{\,,,(.t ^,_,,,Lrs.Jilff t^,".
<br />lll:rlltalrlo!
<br />t l:!.hy .ltrm ud.r Fot, of Frrury llld I m lt!.sl ur&r rmyti,. ot Ch+r6 9 (onEmi.g tnh Sdbn ?@) of D,virbn l
<br />of llE BNiftss a'n Prefsii,N Cnd.. .,n m, ltctr€ is in rlll roe lil .f[el
<br />^" z(r 'ft r .*,-*. )( Eo* f."o ?,'rtryr
<br />(.(INSTRI]C'TION I F'{DII(: A(:ENCY
<br />! M, rfftri uni.r FMhy ol F,lry rhd rhrr. r r oNnrli,. hdinS r8.r, rd dE FnollrInr or llE mrt fo, *nih lhn Frn i
<br />niucd(Sa :t1]97. Civ C.)
<br />kri.ar Addrcs3:
<br />-
<br />ATILI!:AIiLDECLAEAIPN
<br />I hmby rrmun&r FElry or F iury oE ol rh. rorlo*ir3 &.Lr .ns:
<br />l}mlnion Psmilr AltErlo! tlorirr.lnn Fc&ruI RqoLrioN (Thk.lo. Pln6)
<br />_R.quircd ktr.r ol Noiiricork n
<br />_l cdiryrMr ilf, L&nl rcguLrx'nr r8Idnt r\t-rror R r'faldc n{ +pla.bh(r rhn l)l.F_r
<br />_td:{..diry rhd I hNc rc rhisamlic rn)nddi rhc fi)vc illirnn i,{r i\.onc(r l rrrLrroconrnywilh xll( il}trnJCoutr'y
<br />odin. d\{.d srri. hw\ NhinBn, huilJingco od h.r.hy&lhxR rPlenllriEs oflhn Ciy.rd Counry ro cnrs uF,tr tlErh c trr.rk)ftil)n,Irny d m
<br />A pplic.nl .. Agol SlaDtuE
<br />P.mhE rm.lp.lnll:
<br />'T{'
<br />-
<br />t l"r.col.)o l,<tw<-
<br />zlrol"-,
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Founlains
<br />Siqns (monument)
<br />Lile Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER @ )r 6Ws{/
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment v A OtV*N't
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Bough)
<br />Meter Release ,zL l*ga€t
<br />I
<br />Rough
<br />Service Meter I
<br />FINAL 4 u be#&
<br />Notes, Remarks, Etc I I
<br />O$NER BU!I,DER DSLCANAION
<br />I h.rcbt unnm utotcr F.dry nI Flury lhd I m cx.nl|ll fmm
<br />'lE
<br />Conldlo6 Liur bw tor rlE tollo*ir8 rclsn (Ss 701 1 .5
<br />aoiEs rit Prcrdri'n C.d.) Any Cir, o. Cddy whkh rldB . rlmi ro oNd. 6. invoE. .,.mlrh or EFir ry
<br />{ru.rurc. Fn ro nr iriulN, .l$ ..rl!iB rlE {r,'la.nt rq rkh tmir lo fib. $3Erl (.l.mnr rlul lE or {t ir liatred puut'l
<br />n, rrr pn,vniois ol E O,nracrn ! l-icncd ltrw (Ch+r.r 9. cl,nmB in8 enh Sftrbn 70Gr or Divkion 3 of l. Busm .nd
<br />Pmfcsri,.r codc) or Ihlr tr or rlE n cr.npl rhd.fron.,n r nlis 6r llE rlLB.n cEq{i(,. Anyti,larhnofsdri'n?031.Jbyt.y
<br />rmltlnl lor ! FrDl {uhj.{lr lh. rpplt.trl ro . civil FMly oI ml mE th.n fiw ho'dEn dollr ( t5ml
<br />rot-?64
<br />Sub-Panels
<br />.)
<br />k
<br />Rov o8.o;-2o15
|