ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />F ire Alarm / Dampers
<br />Communications Cable
<br />Buildang
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffil Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL '8170 >Y
<br />Notes, Remarks, Etc.rl,
<br />+
<br />OWNEI BUII-OEI DEI,( AR NON
<br />I tRb, rlfm unLr Fn ly ,,1 Frlr.y rh, I m rknt{ ihm rh. cddrrh t-,xm tir td rlr loll'uu E&n ls$.1ll.t
<br />Buims In Prufdur Cr{.):
<br />^I,
<br />C'ly or CN y qh.h rqu6 r Fn h (r]fu. n6, ,nli!E, &m'lnb or EFr x,
<br />{ule. Fr lr, 'lr n\lln!. i$ Rltrcs rrE {t'll.o' rn uh Ftu t, rrk. i!8rJ (.lffir rh, lE or {r ! l*c.rn p{.rrr
<br />k' ih. Frvrqrm ot tlr C,rt-tr'r l-r.oGl Lw lch.fld 9. C('funug * n S<rih 7qD or DrvrDn 1 ol rh Aunr.. &l
<br />Pr'($\rrns C*l. ) tr rh.r h. r lrr ! .tcq'r rlErllilh rn rh nd! (tr rrE .ll(3.tl .rn{iitn. Ary rFLrrh .l S.!r m 't0.1 I 5 by .ny
<br />rl'r'lf,dr n . tEml.ubFBth. .mlEnr k,, civilFu[y ol N frnc rhr.l_'v. hudtrd.lolbB i$ml
<br />!r, rs owmr or rrrc In,Fry.,, my.mrhy.r\ p h wr!.r N rhcr $1. comll.nuri,,n. willrlo rlr *dk url rll ier@ ir d
<br />nr4,.! o olicEd tu elc ( S( ru44, Butin s dJ PmLrsrn. CoL: Thc Conrrctri Licns Lr* d,Er ml rn y l. m owmr of
<br />rh. tmlEny whd boilr or m{nrEr rlrd'n. nl *ho &Er leh * hm!.lro, lEr*lfor rltuoah hi. or h.r o*i .qrl,,trc!,
<br />proviLJ rhar!&h idfn'tw.tEr trcdcl orofiiEr tu qL.ll. bffi. rlE llillE q iqNEmnr ! ar! *rhoom F
<br />or u),rphb( rlE Ohr gu!!.r * l htr tlr hhL. oI Fomt rhl rE r !h. drl Rn turl d lqmE tlE FDFy l rh. Fj4m ol
<br />ffi"*,,***tr, -.etulwtyco BrtrE r h rrcnrtt .o.r.ri,E ro.u{er rtr FrFr (s... 7(x4. Buus6 rn e* c"r., i* c,,eu r r..rir rr* *ir mr 4pry ft, so*m or ptuFny wh. b! irr or cvn,wt rh.R,tr
<br />]n *h LuilBt nr rBn FrF1lr * h.c(, Rro(n lr..€J,nn$' !' rlrCotu&lci ll6c Ls).
<br />*tf...*..u. ".,
<br />a
<br />DECI.AEAIION
<br />I h.r.hy.fftrh onJcr Fnllry or Frjury onc ol rhc n'h*[3 &(l rttrN
<br />_l tar rd will nur.h r C.nr..k ol ConEnr to S.lrln$r. rir s'rr6' on{rnr.lrh. .! F,vd.n ru ty SNr$n l7(D or rlE
<br />hhf, Cq!. Itr lh. Frfolrrle! of llE u'd nr rhih tlt Fm[ s (reJ
<br />I h.w &! w l ,rfurrm *ort6 onqrMrDn 'lrgrn.. rr EnoKJ 1,, S<rrn]7q)of rlE L:bf Gi!, turlE Ffrm. of
<br />ih. wt fd *hrh lht! JEmr ! s{El. My rolt6' L$np.nu-n m\urrM ffi !n IDby rumb.t el
<br />l,"lny Nunrhc,
<br />ZZfL.n'lyrhrr orh. F-.rl,nnuN., rh. work Inr whrchrhF Fnn( A r\u{,I nrll n.r cnDltry dtry I'crotr rn my nEnkr
<br />v) r\k, t(rnr suhr(r b rh. rork.F' rotrqrn\rr x, n h*\olCrl'krrs iftl r!rc. rh rl I sh,ulll h.rntu \uhj.rrn,rlr
<br />s.rt. onlJtn\.rk,n nn,i\r)nr ol scd nr :l7U) ol rh( llhr(ixl. Iih,ll.l,fh* h(onllllyw hrk,rn'o!xK,h\
<br />WARNITGT FrtuE to eG krlc^' otrrtErr.l iDr $@8. ri u.l,*lur. .nd (h.ll .ub/!l M ca{'hF h (:r!lul FMlii .,rl
<br />.drl liEs up h oE huDt.rl lh,uqtn &rhr (tlq),0x)), r rlllldrr t' rh. (F .t.oqEnqrn[ d!E!.r ! FovrLd for E
<br />S-ri,n :10?6 of rlE L:rir Col, hr.rc( .trl I'oEy's iir.
<br />,,^,,., I /t o /t o | ?. *, _^
<br />DlgJaarlllti,h.nbyalltmunJ.rFnrhyorp.r,r!rharIrnlKnkJu'..Ir)yr!).ol(hipi{I(.omnrRmt*hSc.r$n'Ilxl)roll),vtrnrl
<br />ol rh. Bu\imsr&l Pnr$\knN (itrlc. !,rl nry icen{ r r l,'llnn.c Nrleller
<br />coflsltucTlo,\ r F\plN(; AGEI!(a
<br />I lEr.ty .rim uBicr Ftrlry ol FDry rh, tlEr. E . odN1.n LdrrS .B*y ld tlE Ffm i'f rlr urt ftn wn.h rh8 Fd a
<br />Fru.J lse 1(}97. C'v c I
<br />t nLrr N.E:_
<br />LlLLis Addrs: _
<br />AITLICAII.DEC:IJAAIION
<br />I H'y.mm und.r p.nrlly or Frrury oE or rh. rol}osnS Lktlri' i{r:
<br />I).mldbn P.mrl^!h..ro. Norrf..ri)n faLr.l R.SoLuEt (Trrt a0. Pd6)
<br />Q"!,'., -,. rr*,,r",..
<br />47sr,ry rr,e rr' eo-.r .pLrrn Esrnus rd.!o! m)v.l e r, .adr.r . b rhE Fojar.
<br />&rryrU t llwrcl rtu..{?l..lbn r n.r. ttd rrE .h,w oLffit.. s c(ftr IrBEto6n l,wnhr,Icdt.,rrcody
<br />onlh.Ect.n.j Sr.r.lr*! ELluu b burllhx con.'Nibn,rrddrvc! otrhf C[y.ii C.untyh cnrd uF)h rtr
<br />.lx,vc mnriomJ t)n)Fnytu 'n\Fcr
<br />i,n tu{r'{\
<br />At,DlnH l o. Arcnl Six rltrn,x 9A,,yi /-4
<br />,^",n ?/rz/zr,r,
<br />arlftf)EIs.i
<br />II
<br />I
<br />('.rr-
<br />Lrcnrc Nun$.r
<br />I
<br />l T------
<br />I
<br />=
|