ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS OWNI',I{ BUILDER T'rl|-CARATION
<br />I lEr.b, .ffmr utul.r p.ndry of D.riury 6.1 I.n.rn[r fDm tlE ( od.rroB l-i..N ti* for tlE lolbwins ltM. (sd.70]l-5
<br />BurE$ ,n lifsri]n Cnd.) Any C(y ff C.udy wtth ftIuir, . Fd r. sniM. rlrd. inp.oE. d.mlBh.. Eju sy
<br />(erG.I!tut'n3 las'ru, .rh K|lrB rtE {9lE{, for *[ tnn b 6h. iSEd lrl.trnr rhdlrd{r!li!nB!, plm.n
<br />ro rlE Fs*ioB orrlE co.urrolr l,arnEd l2r (clEF6 9. C.mm(ra *{t S*l.n iuD of Divi,hn I oLE aGiB rJ
<br />k,f.r!ton! Cod.) d rlEr lE or nF r! .r.mpr lhRtNnr lnl rh. b.s lo. ll, sll.sd .r.r{xion. An, vioLli,n of Stlioo 70Jl.t hy aty
<br />uti,liconr ror i Fann sobr.6 d. nrFli.rnl lo!c,vilp.nrltyoaidr tur!lhsn liv. hundEJ dolhsll5dJ)
<br />-1.
<br />a .!8.r lh. trrdy. 6 oy.,mhts3 vith *.!.. x iEn $k otrFndh4 ell d. rlt qi* .rld $. rde t d
<br />iddht MolkEJ td sL (Sd 7o.r. Bu*sed Phf.rnmcdL,TL Cod*rd. Lims t *d6d.pDt,ouoruo,
<br />rlrF,Fry $1, hlt lr 6 inIEB rtsq !,'d vlD dc rh hlt hitMtl., h.&lf 6r tllol8h hir q lE om.iploF!.
<br />Drovirhd rh.t'uct impmtmd!m {i c!'&n nrof.En tu e! ltt u6, rtl buildlt8 orltprd.Ed ir $E *l}hm Fa
<br />of cmpt i\ tlE oe's Boiu.r *ill luvc tlE hrdi oI ptuvins ollt lE d nE drl h( hoiu r inpoE dE FnFr, Id E porF( oi
<br />-1.
<br />s eH oldr lt,p6!r. .n .r.tuin?ly @ndau *nh lt Bal .ftt6 ro .Ttr{M rll FDixr (S*. 7(}l.. Busi6
<br />d:i Phr*.!rCd. TIE Contd ! Lr.M bq drB mr.p91,o eovF ofproFn, *lE toild' 4,rppEi it6dc
<br />lid vh. cotu(s ror s.h F0FB w'd . Codmtnnt ErMd r^lorn r. d. Co'rard! LitM Ls).
<br />lrn,.r.n'fr trtrd., Ssdnn, . lt & PC r,{ rltri r.,ur
<br />lvlr8[E[s:gQlllIllallg!
<br />DEclrtBAtrll!
<br />I h.rcby.Ilidt und( Fnih, oI pffjlry oe ofrh.loll,w,r3 dccbr.rk'trl
<br />-l
<br />h.E .,1 srll nl'nr.in ! C.nrtr.& ofco.d to Srlf-lE@ f6 kxt6 snp.oir.-n s FDtiLd lo. ty Sdbn 1700 ol th.
<br />t &, Codc, ld rL tdfqtrrE ol ilr wrr Li lha.h rlr Fnn it ae{
<br />I hrv. rlll *r1ltrr nr sorlc .Nd hn rnlur!'E.. N rcquud by sdri,n l70o of rlx trbor cod., frx !h. Frldntur. of
<br />c ui ti'l'.y Nrhar rc
<br />P441
<br />-IirpiE.
<br />_l..nityrhrr trilt |f o!.rn!. "l ilE vork fd rhth rl rrsnr !!'ucd,l !1, nor ..{,1'y s, Fr$tr m roy muer
<br />$ sr. t corr rGl..r t. rhc u$Icn comp.nuion l.*rolcrlit ni( M{ll3rc.lh! i,! $ould lEcd'E $hFd rorL
<br />soA.('$ntrnsri'nprursEtrrofS.tlsn:lT00orrlElrhrCqlc,ltlull,ronh*ifi$trply*nhrh.Eptuvisiotu.
<br />ItARNING lnrhr. ro *.u. *ml.r' $trS.ndrn ..(B!.
<br />uv atrs ut' !, oE lrDlral th.u.dd dollar (t lm.tm|. !n
<br />slBll rbFl e.trpb)d ro dl]el p.mli.! dll
<br />@n ot onFrErion, ddt!.r a Foai'l.d ror rh.
<br />s.crion 1076 ol rhc titr{ cdlc, inr.rcn dd dror*.y\ l*!
<br />DDCIAAAIPN
<br />I lEEbydlrnru l.r p.Dlty of FNry Et I d li.aEl uDrd FDvirpn ol€ttprgI lllrlll*iry rth Sdfun 7m) ofDiviri,! l
<br />ot rh. Budk$ .nd PtufNioM Co!., d l hy lic.ne n n lull f.r. lnd .llar.
<br />cl0 . /c6 4qtl
<br />c*,*..X lfui 3.5 arov't9
<br />CONSTNU(]TION LENNIN(: ACENCY
<br />I hcrby.0im undcr FMly nr Fri'.,v rhd tlEr.ii r c.n{{dion LndinS.!.ry ror tlE Ffntrm orrE *nt ior qhaithi! Fr s
<br />isEJ (S... lrr7. Cir. C.).l,'d.i, N.m
<br />-
<br />4EEJIAEI.PECIAMI!9!
<br />I lEtr, rrdrulld FMXy ort rnlry oft ottlE tolbuinS &cLdi|N
<br />Dcmrlnon P.rn lAsh.no. Norifrnor F.&nl RcguhMs (InL .{1, P.n6)
<br />_R.quircd llili Dl Ndifrrlin
<br />Ln"o,",
<br />h{ rh.lcdcEl r8uLrionr rca stEr6 rcmul {. ri +plE bk i. dis prDF
<br />I I'Ir r.nlrlo\rp[ltrrtrrr l.x,dt' ron$ly *iI 1ll Cnrand (,'o ,
<br />nd$rmcs &d Sl!(c lj*i rchrh3 [r inlhcrcbvrtrrhtrtrc rcrr.{dirr!.\ ol lhr C yrnd(,!unry!,.nl.r F,n rlr
<br />Btr*. mnuomd I$Fny f(tr inrpRri0,
<br /> lllnr or136l Sl*nrllF x
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lile Safety i Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondino / Groundinq / UFER 0 -u D**Y 7
<br />Transformers
<br />Torqueino
<br />Sub-Panels l0t u Ltk*s 7
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Solfit Rouoh
<br />Ceilinos (T-Bar Rouoh)
<br />lvleter Release l0 al 1t)DfrY-l 7
<br />I
<br />Rouqh
<br />Service Meter
<br />FINAL l0 'L1 Dkkt n
<br />Notes,,Remarks, Etc
<br />.--r>
<br />Bev. 08.07-2015
<br />DATE
<br />D.
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