|
ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Slandards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />I
<br />.!Dr{Ue,Bonding / Groundino / UFER 2
<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 />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilinos (T-Bar Rouoh)
<br />Meter Release
<br />)3l@ti i@b .,4Rough
<br />Service Meter
<br />FINAL lt)g ?o?)Ab:*to,hU\
<br />Notes, Remarks, Etc.
<br />OWNFtr IUUl)rI DEL(AR TTON
<br />I rEEty .riim und.r Fn.lry ., F4ry ih{ I 4.r.q)t ii,m rtE Ctr rdo! Lis( Lr* r,n rh. nnb*ing E.v'n {S.t p]l5
<br />Bo.iFr .nl Pr!r.r$. CdL): Any Cry or County *hrh EquEr . rr.ed r, dnntur. .hd, inprov.. d. ilh or E .t y
<br />{turm. Frr n, . ru.M. .l$ rc'{u6 rlr fl rrr nx rhh ltm! nr tik. 1EBJ (.rcmnl rh, lE or rli n lit.til P{ltld
<br />n! rh. nn'vr3ohr .r llI contr&l r l-i.c.E! lr* lch{'rcr 9. Condctuint q h Sccl,m ,ux) of Divnior 1 ol rlt Bu!r.!r ,n]
<br />Pn,t*s$ CuL) or rh.i lr r \lI !.(rt, rtftkom lrl rh h..1. lm rtE nbs.i.r.r{rr,tr Ant roldm ol sct$. 70J L5 tr .ny
<br />rpnltanritr.ltm.!hF{Brh..orlElntlD.crvrlF,r.ltyolNrB'rrh,nI'v.hundEddollrslrJfir)
<br />l. .s o*rr of rlE ,nrEny. d ny .t?l'y( wnh *.8- I rlEr oL lr'mlEnuin. *tU &r rlr *d( rn dr tfuE . rr
<br />inirlLal or ofi.Etl ntr ulc rse.?o44, Burms $J Por.$ons Cdl.: Tlr G,nrr.ektr'I l-&ne lre &R nd i,'Pty r{' u owr ol
<br />rrr F{.ny wh! l![r! ,f, rF B llE6a !n *b dF Btr sxi hm{lf or tErclf n lhnuSh hR q lE o*..trt'hr6.
<br />,n'vrkd rhrr \kh mF)krdr e d nr.rldl doaersl 6r uh Ii liw. th. tniljrB q lqEErr B 5U *ilu rE F{
<br />ol or{|Lrln. rlE opmr Buillo w ],svc rrr bonLn oflr,vnA lhn h.,r.tE dil nn bu l or itqn E dr ln]tdy nr IE lNqD. of
<br />lvlrBf,E85-SquEd$rro!t2[clJSallq!
<br />I h.rcbt rllufr unkl lrMlryof Fpry.E olllE !.nt)*tr3 &llIjlni
<br />_l hrv. rnr,ll rinti r C.dlir. or conr to S.lrlBrE lor snks $qEndpr ar F,vrl.n 6r bySdlion 1700 olllE
<br />lrtitr GrL. fq rlE IEItfu ol rlE n t fu wh.h tlE Fmr . 6sEJ
<br />_l hrv. rhl e,ll mht.h rorlcs .or{,.nurr', h{nNc. ri Eluir.J hy Serirn lnx) ol rhc lllx{ (iil.. nt rh. FrrLlllllhc of
<br />S t,5
<br />I c.ndy rhar rn rhc l'.rlorm.ncc of rh. eo.t ld,hrh rht l.rhi ( s$Ed,I $rll nor cqrlor rn, F.on in rny m.n*
<br />$ !!o bGd rlrFqr k!rlEs*6.iqmd.n Lrr.f C.!n'm!.. +ft rh,r f I \lsuLl krom rubirl bllE
<br />k,,t6 u',{Enqr.n nn,vsrnr.r Sel,, lmo of llE Llr{ C,rl.- I I,i[ nrhwnh.amdy w(h llr,: Forllpnr
<br />WARNING: FaluE h sE vit6 d,tr!.nsrln d'@r. ,r lnLqrul. .nl .h.ll ruhFr u olq'trF ro (ml FrIF.,n
<br />n) -N lrtr lnal rh,iM ,lrlLrr itr$ r, rh. r.{ or (omFfl\rr,on. {hmdtc\ r\ J'n'vdcd ntr lhc
<br />I
<br />t)l.r I \k\ 0\
<br />I htRhvr,lnmu LrrEMhtol Jrrruryllur I am lkrn*l unlcr I'oYnx,nol Ch{irc.9 ((onrftRr8 rirh
<br />.l rh. Buws rnl Pn,l.sxrr (iik, ,rl my l[tnc ! o tull ftrt al clle. l
<br />4a,
<br />CIDEIAICIIAd,I!!D&C.AqTB!}
<br />I h.6b, rtftrm unJ.r F lry of lErJUry rhrl rlm s . tu{Biim ld(S .S.ty rd rlF Frflmc ol rh. rd!
<br />lrucJ (Se .1097.C,v. C )
<br />kDl(r'! N.tr
<br />-
<br />AIPUgANUTICIJSAIIO!
<br />I hddJy llrm unLr F.ak y of FUUry om df rh. lolh*rt J<L..r irnr
<br />l).nnii{'n Pernik'^ft nos Noriri(.ri,n Rd.r.l RcEu[rDn< (1rrlc.ro. P!n6)
<br />-R.!luurJ
<br />l!r{ol Mr ilrn.
<br />l.d yrhd rrE lolcr.l E!trLr,m ftrrdDs rsh.notFtu,vrldc n{ {'plr.hl n' rnLr Fl,Fr
<br />|
<br />-l.gr,lyrhi
<br />I h,r R-l rhtr .Il?h.trr !n nrrc th.t tlE .brc htomru ir ((]Br Irtteho,lplyr ttUC y.,nCour,
<br />orJmrR-'c ni Srrr. l:wr ELrmB t, t'urldrn3 hr.l'ylurhrr. Etr.d.r'6 otrhs C, rri Cou
<br />.nr)r' mrik,trJ |n.p.nr i,n
<br />ApDli..nl rr ,ls.nr Sirndu ?
<br />DATE
<br />Under Slab / Floor
<br />_1. ar owmr of rhc pnFny, rm .rlunEly collr&1Ds * h lf,.nE 1 .onrubF h dnrlruul lh. FoFl ( sd '7o&1. Bures
<br />.d Pn'bsrn CrrL TrE Ctnrr_'nn s l-Ecr{ Lr* rl&! r +flr ro a orkr ol rmFny rL' l'!'l,r o, nFowr 'lrro..anJ wh q'nrrurr ntr ruch In,jrrls wrlh . ci,nlmto(n lEnr.d pu urnr b rn.Conrtucroar l-k..€ t q).
<br />-l
<br />u.r.rlpr u L. S<rFn-, A. &P.C. aor $! 6rbn
<br />L. lq'r A.!t rr
|