|
tD/stG.'COMMENTSAPPROVALSDATE
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor qlElnBondinq / Groundinq / UFER
<br />Translormers
<br />Torqueinq
<br />4hrlra fa4br*-/c-L'-Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />'/oz--Rouqh Asla brlo17
<br />Service Meter I
<br />P /</t4 -z{7tjtFINAL
<br />Notes, Remarks, Etc IC7
<br />()1\\t:R al ,l.Irt:R Dlll { \R\Ilr}
<br />I lFEhy rllim ufttr I*dX, of Frrur,! rhrr I o .t.n{i fDn llE c(,der6 Lt..s lr} lnr rh. follo*i!
<br />Aunr( .d Pn'r.rsnn Cr&): Ar, c , or cNdy wh.h Equftt . Fhr ro dtn{tur' rhd. ur{rct- &frn6h or EF{ uy
<br /><er!r., Fr* h n! EsutN, rts rcqu!.\ rlE.fi'l.rr rd rkh Fmr b ark r rlE-l {r.mr rhj lE or {E n ll"r'i PlJlld
<br />n' rlx I'r)rNi,nr of $. Conrrrtr'r Lt!.eJ L.s (Clqr- 9. Co,lmfthg * h Strr'. ?UX, o, D'vnDn I of tlr Btrnr( r'd
<br />Pnn !\r,n( (irL),r lh:r tE or (lE 8.r.r{'r rha.fnfirirl rh. h.(rs nn llF .rk8.rl . t.tr,'l Dn Anyfi.lDnoaSdr'n'0ll lhvuv
<br />ryl,r.nr r(tr r Fmir srbi{u tlE rlrli.d (' !.,v,lFBlryorft mrc rh.n r'v. hun jrcJ Jolld( ($m).
<br />t. r\ o*mr or rhc FIEny. or ny.np[,F.! * h *rS.! zt r h.r $h drml.nitr'n w d' rlx *rrt Dl rlF sltu1m tr ft'
<br />inr.rktl 'ottircd lu eh ISe.?044. Burft( rnd Ptr.rsnns Co,jq Th. C nrstn't t,(n\. lrw &Es n{ .rp,v t' M okr oi
<br />rh.pn,Fny ek,t djs or in{rcvd rtEB'n, [d wh] dlt! rkh *)* hims.ll or h.r(I, .r lhnrSh his or h.. own .'{*!y'4
<br />guuOa rUr rurt, inqrtmnk c r, inr.nLJ nr.flaEJ ,ttr eL ll lrrkEr,lh. t[illns nr nYnrtm,r i5 bll wirhin ok )te
<br />ot Loif)lcrln, rtE owrcr Bu Lr win ME dr lld.n ol F,m! th.l rE or sh. drl mr hl l or oqhrv. rh. PEFtv ro' rlE I{'F { ol
<br />-1,
<br />.\ orEr .f rlr I'rrdy. .h cr.luriEly .odrdn8 * h lf,lE€J .dd.al,F n' ltritur rh. [nFr (S-' ?o'r'l Bo'r$
<br />,nl h)hsncdL: Th. Co dr '.Lt.tr(lr*&x!r {lPIv ro u owk. or FsFn, *b h!'u! or inlproE rh'r@r
<br />.nd *h .rnBis rd lEh Friar! * h r co.hro(r lsn<1t t'ord h l& Codr1r,, r trcEE llw)
<br />I rn.rcmF u .rS-r..-.8 AP.C tor rha Ea$.
<br />]lrlatrEa orltENlarlo!
<br />I,,ECLARATICIN
<br />I hcrchy !tltrn, unJ.r p.nlltyol p!tjury or* !'l rh( i',lhwnr3 dc.lrrrn'n\
<br />lhrvc ulwrll m,n!!ina(cnrti.rr.olCnn{nr t, S.ll_ln\urc tur *otkcrr .on$-tr\tr trn r\ F)vtrl'd ntrbvScd()n 1'rl)lr'lih'
<br />Irh, (ixlc, ntrrh. pdoruftc t rhc so* ktr *hf,h rhr FTm[ s N\u.J
<br />I h.\ c .d *rll mdas loltcn' .odFn\{r,n hrur.mc, .\ rcqotr J hv S(r Dn 1?U} ol I h. bhtr C{xi'. lor rlE FrfolfuL? ol
<br />is ilrhi Mv e,rl.n NnrEnlrrn nilr.Bt..dr d Fn.} nunh.t d
<br />t\(L
<br />..",". tl[6 rzo((
<br />I rcnnyrhar
<br />'n
<br />rh. IEno!ruR-.. o, rhr $.tk ntr *hri rhtr Frnir F s1u.J. I \h1ll frn cmpbv rny Fs'. tn any frlnrct
<br />v, rrt,tr('nr ruhFrr t, rh. uod(ci co.{rnuro.lrwr o, C! nmE- anJ llrcc rhrr l \k{rLl t$'m \uhj'd brh'
<br />qorkd ( ( dnrr^_nslr on povr$ns oi S.rrtrrn 17(x) nl rh. tihtr Cod., I \h3ll nrn hs h $n\ilv wrrh I hrE I'dv6ons
<br />nundcd rh)ur.nd dnkr ($l(Xl,lXX)), 'n .ddirbn b rtu cd{ (tl .oqxn':ron. 'l.uS'r tr Frvn'd n* tll
<br />Lihr CoJc, mtcr.n m<l1t,my \ 1..r.ttvL lt v{-
<br />I t( t:i\stl) ('lt\Tta,\elok
<br />llI:tIA8lLlOr
<br />I h.rdry rrlrn unLr Fmly of Fdury rrra I u lrtnsl ori Foni;n ot Cn Fd I (tlmE'is wrh Salin 7m) 6r r'rvN'n l
<br />.r rh. Burms nj PDr.ribN Car., .rr 6y l..f,E Lr tr tuU loc rn .ftn1.
<br />\ c-to qt
<br />lqlilBuquaNrEBulcaniENsr
<br />I lEEhy rfitrnutol.r FMlryof lxrjury rhr rh.r ! I ondur.n LnllS t3.By nr llE nql0mht ol th. k'I for *h'h rlur Im! i'
<br />nrEd (sd l(r97. c'v c.)
<br />APPLIL-ANI DECI-Af, ATIoN
<br />IH!! tihuBLr lEn.ky ol tErrury E ol lh.loll)*tr8.lc.lrr.t{ns:
<br />D.mn trn P.rm ! Asb.{os M,lfi.aix,n Fcd.t.l R.suhrionslT k'lt Pdi6)
<br />_Rcqutr.i] t rt.r ot flditiurrn
<br />I (.nrlyrh.r I h.t. E ihl! .fphd rm .nl n.rc I rh..h'r.mlorfltrrtr(r(r Ir3r(n,(trv,ltsih.llCiyrnCounrv
<br />(iJtue.r rnl sr.r. L.*! Eldru l. ho ll,ll.(rnrlrrc\ol rhrCnysJri Cou.ry().nr.r uF th
<br />rhn. mn[,mtl IiDFny ls mslrlri'n puF)t!
<br />ELECTBICAL.INSPECTOR RECORD
<br />-)b
<br />lrhl.i\ Altlr.(
<br />-l
<br />dcnnyrhrr llE fcd.tal rc8uLli)nt tsIJms r\h.{o(rcfr)vale hor {Pl!.hL tt rhtr nn)F1
|