|
ELECTRICAL.INSPECTOR RECORD
<br />rD/srG.COMMENTSAPPROVALSDATE
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sians (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />l.evtelFINALtlT4lao 1 2.s>)
<br />Notes, Remarks Etc
<br />()\\\tR Dl Dt:Rt)[I{,\R\Il()\
<br />I hscbr lllh undd p.un) ol Frory lnd I n .rcnF fiDs lh. Conrd6' Li.@ lrs lor lh. ro d*{B lan (Sa 701 I 5
<br />Bu!io63 !,rl P,of<hn Cod.) Any Cny or CDuiiy vhicb rcquir6 . Fnn lo o'inru.r, .1t6. imFovc &nolbh or tp., ey
<br />rtu(luc Fi,r lo irs isudq a,ls rcquirB {n +pli@r aor 3ucn Fnil to liL i s,en.d iid.,El th.l lE ot ilt i! lic.nr.d p@.,
<br />ro lh. Fovirio6 ot ln. Conlfflorr 1.i.6!.d k* (OuFd 9, Comm4in! {nh Sctn n 7000 of Dilithn I of llE Br6iB 6d
<br />Profdio6 (od.l d rhd lt d rlE b qmF thd.6om ii t& b6L for lh. rlks.d doFion Ar, li)Llio. ofs<rb. ru!1, bvav
<br />rrl?ltd for r Fmi oqdrs rlE .rplicut lo . oril Ftub of &r mr. rhs nr. hutttcd &{L3 (t5m)
<br />l. s o$ n6 otlhc prop<n,, or my nploF6 *nh r.sd B lhcn sk comFsatnrn, *ill & tlE *c,t &d th. n^&1E k 6r
<br />inrddol or o IIs.d tor s]. (Se.70r44. B6in6 sd PruldioB Cd.: 'lt. Conktctors l-a.fu le &6 nor ipPly b m oqr6 ot
<br />rh.Fnrqry *bl[il&o.,rForsrlE@redqho&Eshu t himrlf or hclforlr@ush h! orhd o*ndplorB
<br />F.rid.d Uui t6h mFrad! c d dad.d r olr6.d tu -!. lf. lr,166, tlF boiBnB c rV$Ed ii bE *ihi. m )d
<br />.acmpldi4 llE ()*E &rtb e l$t tlE hlrboflm\lB fir lEdlrE dd d boild o. rp.!E E FoIE.r- ftf, ttEF,Po..of
<br />l. s oMd olrh. Iiopdr. m .(lusivcly conr,ld inr snh li.aE J mnk.dou to oNlrucl lh. roj..l (sd 7044. S6ind
<br />. PmGsion (ir& Thc Contreroii l.i.d* Lr{ do6 R rpply to u o*nd o r Pop.n t *h. buil{Ls or impror.s rh66..
<br />Md qto codrrdt fM sch Fol&13 wnh.Co'nndorir) lkoEqj Ond ro rh.Codrrror! l.ic.e Lr*)
<br />I I croF un<tr s.dion
<br />llrr. ()*rer
<br />woRx !-Rs' aiinn'r, rs,\ tr()N
<br />ul:cltaAllaN
<br />I ho.h) aflinn unJ- FBlr\ olncrurJ orc olllE folhN tr,! d.{lraroni
<br />I hlvc !d sall Mdlin . cdirEd. ot (oMr l. S.lt'lNr. loi trirtd 6nFEiFn. B Fnvii.d aor tt, Iidrn l70o of rh.
<br />I lbor Co&. for th. Ffo,r,e. oarh. $ort for *hi.h lhc Fnn i! Bu.ii
<br />I hrv. od Nill h.inr.in sorkd $mF6.lio. iBurlnc.. s r.qut.d hy Sd nrn l70o d I rhc ri.t Codc, ln lhc Ffom c.oa
<br />rh. trnrk an shi.h rhi! Fmn L isEl. My worl6 .nnFtrdion iNo,e. cnit ud FIty nunb.t ft
<br />PolicyNumba: ExPt6:
<br />V/r <a't rr'.r , r* p-r"mr arrh. worl for trh(hthisFmn k n$.<L I nlrl.or 4Pkry..yF$niuynM
<br />i. B ro bqnr rut"6l ro rh. u 16'strpqE Fr Lsoacil'ln@ dd leErhd Irl l}Duld baoc Et*{ torlr
<br />*!rt6'ooFrEdaonpmrtioBofs..lionlT00oflh.t tr Code l rldl fitlhs'nh o,tqtlt * nh $o$ FDrthB.
<br />\\IRNIN(; I trlLtrr r, a\ur. \\.'1.'\ .rn,Fx3rk)n ..\rrrlr 's tr l.n1I'il. rtr slrlLstrh..r in
<br />t
<br />.n'l ,in.s ur ro .tr. hutrd..d lhoustrd doll6 (1100,fix)), i. .ddibn lo th. cost ol dffi!$.s 6 provid.rl for rh.
<br />sali.n t{r76 0f rh.r,t r cod.. inr-d rnd drolF:'r f6
<br />",,,,/) /r< Lq
<br />7
<br />DECUsAITAN
<br />I hqcbyafiru nndq rEuh) of Fjury thtt I m licaqt undq rrovirion of( h.Fld 9
<br />df rh. Busins lnd ProasioN ( od.. ,i m, li(N ir in fuu forc sd clldl
<br />nnnocin! rv h Salx{ 7(xr(r) of Ihrk,n I
<br />, ".^*.o* C -'lO
<br />-" 1t/rsy'?
<br />!! tllf-!_ll1u-! lr!!r\{, \(;t:\( \
<br />I horby rfrm lnld FEty of Fju,r- lhd lho! b . odtu<rion Ltdiqs {d} tor llE
<br />isEd tsd. 1097, (i\ c )
<br />foll1m. oarhc sml au *1.h rh6 Fm. ir
<br />AIITJgTLDTCUAAIIO!
<br />I nsd,y rILn md.. F.!nt o f FJu.y oE or ll. rolbr in3 &.hnbc
<br />Drmhion Pmn!-A3b6iG Norili.rlion F.dall R.sul io {Tn!.40. Pd6)
<br />VlR.quicd lcto orNotifi oron
<br />Vll cdiry 'Ir r,E ftdatl rcsddDd lqtlhs !t.sd lq@rd E tro{ elnbL ro rhit FlF
<br />hlt. r.!d rh6 rrrlrark)n dd 3.'. lhd rh. 6tF\ c r a. cord I.graloonply*nh.ll(it.ndC.u y
<br />tr EF6atdi!6 of lhn Cny rd Counrylo ora lrnn lh.
<br />rlr\c nr onr(l,rofdv lLtr n1l'ccr
<br />.rpplic.nr or.\pdr Shn urc
<br />ena I
<br />,",,p/rfrr
|