ELECTRICAL-INSPECTOR HECORD
<br />APPROVALS DATE ID/SIG.COMMENTS owNtsr rl/llrDll lrEl-c lr TIoN
<br />I lEEby Llfrnr u ., p.ndry ot l.r!ry Llut I !r.r.mpr ton rh. cotufrloR fi.ne be fo, dE lolloeinr E en lsc.70ll.,
<br />Buiinc$ ind Proli\sirn c.dcl, An, cnr or c.u y rhth rcquiEr r Fmi lo coi(Mr. .lrs, ihprovc d.mlish nr Elj.tr uy
<br />slntrrw. DB{ b iil ioe., llrd FquiEr ih. tt)tia{ tm rul Fmu io 6lG ! ,Strt ird.trd rhr h. or {E ! li.!R{ I'rold
<br />ro rlF F.vishM .r rh. c@krrnt l-i.Md lr* icr!flcr q. comftrin! *irh sdh. nxl) oa DivirFr I of rtt Burirs .rld
<br />PioLsrN Cod.) d thrr lE d r& t .kn{i tlEr.troo rd dE t ri3 for tlr rllq.il .r.iqrbr Ary vnl.lo of Sdrn 7Ol1.5 by &,
<br />.ppltnnr f.r , p.mn tubr.B ltr .pplx. ro !.iil p.tui, dr mr |1M $u nE nodEd doll.Ii (l5ll)l.
<br />_I. s !*nd nl rh. txnp.ny. or m, .nl,l hy.cs wi$ *r!cr s rfun nk ..np.ndir, qill d. ln. vdt rd trE trdm i, m
<br />iM.dql or oflcd tu sh ( Se ?01-1. Bliin.s rnd Pn,l.rtuB CoaL: Th. c('drelu-l Lic.r tlr U4r nor 4ply ro $ ouftt oI
<br />th. lmr'tn, vlb t ilt! d inF.E. rh.6[ !d slp dc\ uh h& hituI or ltrklf Dr rlltu8ll hi or ts o*tr .nplqer,
<br />Foil.d rh,[uch irp..ved. e d{ idcnd.d fr ofi.rd 16.t. It h*.6, t E toiun{ n n!+..Erd n $!d wilfi 6r ){
<br />of.srpLiin tlE OvE B.it d eill trE rlr hrftln ofF,vrla lltd E ( r& dil ndr Lri! r irF)E dE F)pdr, .tr lh. p(IFE oa
<br />-t,Io*Er.lrL
<br />Fop.ny. !h.r.brn.ly cod.&!oa *nh ln..sl conlrsrBh oDlNr E Ftrl..r lS< ,Ol,l. 86r$
<br />rnl PoGnr, Corl.. Ttu Cotrt..roal Liem. L.! de. Bn !pI,, b !n orxr ot roFry *ho burldr or in9n,wt rh.tdrr,
<br />{d *h\ contrids n, ru(h In.F.tr wirh . conod((, licctr!.d luruer $ tlF co.taloas LtcM t })
<br />-l
<br />rn,.ktr,t u'xl.r Sc.r
<br />Illaf,D8sl;lrafIdlAll!.t!DE(1 I TIoN
<br />I h.r.by.ltun und.r r{nalty otp.riurr nc01lh.n h*in8dtLnrrns:
<br />-l
<br />luv. url wrll nui' ain r (in,irsr. ol C0'L$N h S.ltlNtr. li, $o.ldL on{E$rrn. a\ Frv'J.d f,, hy 54tn,n l70O o, tlE
<br />Ijli, Cdl., r(, rh. ncrtorumc ,,f rlr *olk lor *hEh (lE I's Nr t nsu.d
<br />_l h.F rn ,tll nBini,i, sdlc6 &r,rEMi{ n$frE.. .r Equir.rl by Sdrptr 17@ ol ih. ri.t Cod.. for rlE F qtm. ol
<br />dE *trI fd *hich rhi! Fnrn ! isrd My ytrldi ontf,Man iNlm .alr !n |ilkt nudv r.:
<br />I ..nrl, rhd in rlr l,t.fomvm( r'l E qorl fq tll.h rhs Fmn il 6u.rl. t ddl d .nploy Dy Fbtr B e, dME
<br />$ 6 to h.oE rubi.rr to rlE s.rqi 4np.dhn h$ orcdir.nn..r{ llgd lhc i,l J&ld hdnE ib,Cd ro rlt
<br />10116! $rp.Nro por6!^r or stun 17@ ot itE trhu (ixlq I JEll. fdh*fth !upl, snh ini DrovnirB..
<br />WAI(NINC: lj0iluE ro scur. rdrl.r codp.nsdbr .or.to!. ir lnla*tul, dnd rhrll 'ubt.1 m .npLr.r b Lnmin.l P.Mli: lnd
<br />civil lin.N ut' t, o& hurlr.d rln,urld dollrx (tlm.o0ol. s niD. lo rlr .rn ol con{-Brtion, dstr!3.r a! pruvid.d htr lh.
<br />Scctun 3076 ot rhc tjtu Cdlc. in!.rcs ud dbtuy 'l ,(\
<br />IJCEIIED.CgNISACISE
<br />IESAAAIIAB
<br />I i&Eby .rfro utrd.. F xy or l.tu.y rhd I m lietr*! und.. ,n won or ch+rd 9 (.onrllfriry uth s..rpn ?000) ot Divru I
<br />oI rh. Bu m$ rnd Pof.sions Cod.. orl my li.n* n in tull foc urn .tt6r.
<br />goxslBulJlltNrEp|!{i-dcllta
<br />I h.Eby.lfiirnund.. Fuhy.fl.rjlrylh rhet is r c.Ntocrion Lndins rSemy lor Lh. p.rlonMr. ofih. *ork lor wnich thn IEmd n
<br />isiEd(S.c. :1097. Cir C.).
<br />APPI-ICANT DFCLARATION
<br />I h4tl,urimu ltrFn.xyolncrjury om oflhc follt)*i4 ddllarrns
<br />D.m n'n P.rnrir3-Altrior Nrrlicdioi F.rta.l Rl8rldift Onle 40, Ps16)
<br />_R.qu!.d Ldd of |riifirir
<br />I ccnalr rh.r rh rcd.nl Erlldi,u rcs.rdins dtsroi Gm\nl e ft{ qrlsbk to rhir Fsixr
<br />tccn'lyrl llurrcadrhr. 'lrlnon lal ud. rlur rlr {h'vc inlo'ruirn n cord I u3r k, uonnly !n[ rll Cit] rnd Ct'u ,
<br />o.dinsnc$ lnd Sralc ljrs r.ldin! !, hund'n8 con.dcri,n. ull hcrchy.dlnrd rlr.(nr.riw! oIrhBCiry ind Cnunty lo qrd ulr][dr
<br />uh\c nrnrdl.d pn,Fny tu in\D.!r n n purlnEs
<br />I
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Lite Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Buildinq
<br />Under Slab / Floor I
<br />Bonding / Grounding / UFER l0 2[''lu L>l'r.r l)9tk\ ( arl <_tvvv I
<br />Transformers I
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release I l\:>v\,/l)lcut tlrt
<br />Rough
<br />Service l\ileter TI .l , (nlv-
<br />FINAL \d tu L\h/rtE
<br />Notes, Remarks, Etc.
<br />Fev. 08-07-2015
<br />Cdl,..lor
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