|
ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS OWNER BUII,DER DETTARATION
<br />I lE t, .ffm !.dd FMh, of Frury rnr I m .raq, t n dE Cotrrrd' LEaE u* for lhc f.lbE! l@n (Sa!.701 I 5
<br />Bu'.s !n P.oE hn Cod.) Any Chy o. C t shth ,.ttui6 ! Fnr ro odru.r, rls, inprcq &@lisl' o q.n ary
<br />n ducFstonr il!le.. &o Equt6 tlE Tdad loruhFhnlo 6b.3ti.d !rr@t rbr lE or .lE b lic€E d F!$!,
<br />ro rlE p.oritioB or r Coddd ! Lirru.d t,r l(luFa 0, Coffii.8 snh S61tln 7lm of DivBiod I of E BBiB .d
<br />Pmf66d Co&) or rhtr L d slE it qolp( rhqdori rd rh. bdir for rh. dkscd ddrqidh Any r hlai,. of Sdi.n 70115 b, a,
<br />rrplicot for . pdnd shJds rlE .gplico! t, ! civil Frt, ol mr mE the fil G hui&.d .bllB lt50o).
<br />l.al0*6.trhclroFnr.o,nt@plo)c{irhtrrr6arh.ts!.6np.nqion,sILhrlE$r.ndrlEs1,L1eirmt
<br />inr.rlcl o. ollddl aor sl. (Sc 7041. BNind od Pr.adioB ( o& li. Conlro.lois Lic.M lt! do6 ml .rply lo e oqt6 o I
<br />thc F.rdy uno nrikLr or ioFov6lhdon..d *no dq ru+ rq'rl himsclror h*lf or rhmu8h hn or ha own mployc.
<br />prov id.n rh.r r!(h imp.ovffirs e mt intadil or oird.d rr sb lf. ho\ -_r. rnc hrildin* or irF,vobl i.r hld wirhin om ys
<br />of tumpkiotr rh. o$tr6 tkildd sill h!!. $. hrrln ofF\in! th, h. or !h. dil ml hoild or irs..v. lh. FoFq nn d! FrFs of
<br />I M.\mfl unds Scrk n
<br />D.r. Orrs
<br />troru(rfq, contPcMst rci!
<br />uEllJEallaN
<br />I nq.by srrnr undd Fuhy ofpdjuryoft.trh. roudtr ins ddl&rr,od:
<br />I har. sd will mrintlin . C6lilrcarc ol Con6r ro s.lf'16!e 16r worl6 comFMion, a ,mrid.n for by Sdlion I700 or th.
<br />lrtsltgrG r$
<br />'hc norollrle. or'h. wlt to, shrh rh. rsnir ! isu.d
<br />lzlr na.c rnl *,n mrmuo *orla' .omp.@rxr. ,nsts., s r.q!t.d by sdlDn r7o0.rlh. lrbor ( oda tor llE FfoliuE of
<br />Nl)
<br />.--NQ s72s/uao
<br />I cdifrrh.t in rh. pslorumc olihc u o* tor rhi.htfinFhil B isu.d I dullroi dpLr..yFsn inxytuM
<br />$ a b iK'ft luqelo
<br />'h.
<br />$0116'6mFMh. h"! of (rlif.mir, Ed.8r rhd if I nsuld bEom lbjel lo ll!
<br />*a,rtd.omFurionFovi.iodofsdion!7tuofrn l,hn aode I slEll. fonh$ilh comply wilh llF- p.ori.ioB
<br />WA,lNlN(i lj.rlurc lo surc $0116 m pmtalion o\66rc n u lul. lnd shall suhJ(r dn orlo)lr ro dimin.l Fuhi6 dd
<br />li' orc fiuad.€d rhoMd dollm (t1(x).(x)lrl. io p.Mrn,n, damtlc a provid.d for rh.
<br />I hdrby rllm undd FGny ol Fjury rtd I s li.dE d u.& F!\t$ of Cn4is gtonffi'.s trnh SarDn 7000) of Divilan:l
<br />nri mv rrtu u
<br />'n
<br />lulr for.. ni.fIftr 562357'#'lfz !.,"",,..,"(
<br />I hchy.mrm undr Fn.hy ofDnjuryrhd rho. i ! cor<tuction kinlin8 a8trt for$. pafomft. oflh€ s.rk tor Btth thi! pqr t
<br />isu.d(Sc llo97. ( iv C )
<br />lttlc^trfDE(lalaltod
<br />I hdq rrm utris Frty or Fjury oE ol llt rolb{fu dclrnrc:
<br />ftnoli!i)n P6mnl^rb6rG Nori6..lio. F.ddrt R.8uL'i..t{1nE r0. P.n6}
<br />Rol"trcd I drd oi Noriicrthn
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Srgns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouqh)zl
<br />Meter Release *unurc 'JeO)
<br />I U"I
<br />Rough Ao TMfi.r{,^J{9-/
<br />Service Meter I I L\\
<br />FINAL 1 Lt)l0 DlYlrn.n.kE"/
<br />Notes, Remarks, Etc It'
<br />l. 6 NF orrh. rDFrr, m dcllriv.ly cmrrNi.3 f,nh li.dE d @d.rroE ro ordn{r tlr rrj.d (sc 7044. B.6c
<br />.nd Prtrlsr Cod. Th! Contrl.is Lic@ lrw do6 hi @l' ro D o{.d of FoFnv *h. blildr or inpror6lha6n.
<br />s'i who ol rx$ rmsh FDj.(! rnh t (t'rBlo(r lxo!.d Fi':ld lo rh.Comer('i l-N!e lrw)
<br />c
<br />b>;
<br />I ..tilv ih{ rh. ldsal rcrural ioN r.ttrdiis NlBn'1rdno\ala. n.l arph.ahl. h rhs r,(iRl
<br />/-r<i,,''n.r,*'.,.or,noarrl'(iri.1tur.i{.r.Uirl'.,'h,...ni'nnr,r,n's.{r(rl.'Fr(r.trnrl\(hrll(tr)dndtiiunr\
<br />_r*-'%^a;:%"^",_ffi
<br />tlb
<br />1l!*
|