|
ELECTRTCAL.INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lite Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouqh \\l
<br />Ceilinqs (T-Bar Rouoh)\i
<br />I\ileler Release
<br />Rouqh
<br />Service lvleter
<br />FINAL
<br />Notes Remarks Etc.
<br />(nvNr;I Bu|lr!:taDtit,c x rt()N tL
<br />I lEEby affm u*ln Fmhy of F ,ury thar I h.knfr (fum rh. Cod t6 l.].uE L.* for rlE foltr*inr Ee. (Sd.70.!l 5
<br />ABitus rrd Pr.lcithn On.)i An, C(, or Cdo y *hrh rcq!'Er . Fd ro mn{tod, llrd, imPov.. &frrirt or EFr uy
<br />stute F$ k, fi 6su.r... .Iu RquR\ rlr q'l'l.an li,. D.l Fnur tu 6l. r rlBrd it&m rha t or r& u lt.nral plErd
<br />to rlE p..vi!i.B of ft Contrrtr! l.k.n*d Ir* (Ch.pr.r 9. Cnmmint s(h Ssti)n 7Ut) or l)vnhi ]l df rlE Buir$ ed
<br />Prot srotrt Co&rq rllrt lE q {E t.i..+ rhcrlhm rn rlE h.a! ru tlr rlkr.d .en'FiD 4., vrLrbnorsdb,TOrl.5bysy
<br />applioni for x Fnnir rubjr( rlr .p?lkonr ro !.rvil pcMhyord mr. $r nv. huidtJ dolLt! llrtr).
<br />_1. a owEr of G. For.ny. n hy.npby..r rirh r.!d a rh.i 5toqEdnn. s[i.rri*rt. l{Erd@id
<br />iddllal d ofidal f( {l. (56 1x4. BuiJsr D,l PrDIBiirB Coi. Tlr Cdrrs r Lr.e L.* ds ,Dr e?ly ro D ow of
<br />t,t FtrFry *1, hrilt s iqrE d@ rn slb &- sh urt hilef d tFElac t!.Du3h hil d lE os..nploFl
<br />F.viLd lt, lEh itrFs(mlr! & rlr n.d.d folldd ltr d lr. Ees, dr hlil,it d 6F|t@n i! s! rihn m ]s
<br />.l.qphi4 tl' O*8. EIiUE villh.r tE hnl.n oIFeiB r lE e lr dil d hri! a hstE Ur Ft'F, rIrlt F,FEof
<br />_1. ao*Eof E F.Fry, .n.rljr\tly.odr$.r3 r.h l*..e|.rm ro odM rlr Fnl.( rsd. 70,s, aurirq
<br />r h,l..snCuk Ttr Codr*tr'! L(..! lr* d6!r o*E olFoFnyeho hi dt ( urI'DEt thaotr
<br />.nd vth 6ffin* ruch ,lr,i(e *rh. C.'dErnr) I
<br />]!aBliteuarfL\1u.11!!Dl:sl/&u&r
<br />I h.rcb, nfltumond.r n Mty ur .l rh. r0llr 13 &{h"rtu
<br />.Cdfrl.ufcor b S.lf-l'tr nr krt6 (ufirtrdu,.! Frvrlnl ld t,SarM l7mol E
<br />orrh. r(t f{{ rhrh rlE nnnur ! Nd
<br />*ill @nru *116 .onrEMh, nonr.., $ Elltr.d b, Sdru lr0o olrlE t bor Cod., tor il. FfIm! or
<br />fr eh.h rhn Fd r iqrd Mt *qlqr olFdxn lM.G ul F)lly rtte
<br />I dify th, h tlt rnr"lE ol rll vdt td *h.h rh! Fmr ! !{al, I tlu! d nPlo, u, F-d o, iffi
<br />$ B ro tEqE sl'rd ro rlr wtft 6mFMm L!. o, C{rrlr.u rn rtd rtu
<br />',
<br />I rkEld bdr r$r.d r. rlt
<br />wol|.6 Lw+.Ntbn pt!$ns orsntrn r?m or r l,lH cd&.1 ldlsrbonPt,ittttrE!rDvub6..
<br />WAtnNGr Frl,. F @ srr{' arFrdbn 6Ys,! ! uLrfur, d ndl EbJet D ctnploF ro didri Fura rn
<br />civil frr ut ro oE hur*.d rhould dolbn (il@.tl@). m.ddrirn ro rlE.oi ol @trp.urio!. drrld ! F.vd.d ior rlE
<br />ScrioD 1076 oI rlI L{u Cod., irrcr.r .tn rtrt! r ad!
<br />Drb:- 4rgllor!
<br />-
<br />ucn*sroffi
<br />IIGIABAIO!
<br />I lEEby lrum udls F xy or p.t,u,y rlu r .n r*r*a unr<r- iiTChrF( e l$nurEairy wnh SaiDn ?0(x)) or DNBb'n l
<br />of rh. B!.m$ .nd PDI6rE.r Cod.. ri my la.nE i' in full for !d .flkr.
<br />Li.cosc Clas,-Lr.N. NunlEr
<br />D.r. _ Conl l"r'-
<br />IOITISIJqIIqNTEBIIB GIUCI
<br />I hcreby aflinn undd Fi.hy.l'trrruryrhd rh( i'. co.{rudi.n Lding rtcEy tu lh. FInmr. o{rh. qnrk l.r }hrh rhB Dcm( a
<br />ks.J (sc.1(}J7, ci!. c.).
<br />APPLICA|\"I DFCI ARATION
<br />I hdd,y raim !ftr.r Frih y oI Frlury om oI rh. fi,ltD*n8 d.<LtuioN
<br />D.mlni.n P.rnnrlAft.(os Ndrlicdion lydrd R.tol15.' (TirL.fir. Pd6)
<br />_R.qut.d trn6 of Nd6calxh
<br />-I
<br />.dify thd rlE (idqrl r.3ulllirD ElrdtnA rl'.ior td d c to{ .r'pk.bl ro Lhi! PNt r
<br />-l
<br />dify thi I leE r.d lfu! rppEdi,n rn t. dln rlt rho!. intud5. ! .(ffir I .ttc b dnpl, *rh dl Cl, rld Coud,
<br />ordiffi rri sd. t^r Ebir, r. h{ildh! .orcMiotr rd lrr!, dlhrir BFl*luE .f di! Cry .!d CN y lo .rxd tpo. tlE
<br />.to\r rnbEl p6Fn, ftr iniFdion F FEi
<br />Apolicdl or A*dl Sirdiu
<br />PdalrEtrrDrllrr:
<br />IIIII
<br />I
<br />Rev. 08 07-20
<br />DATE
<br />t/ -/
<br />)<
<br />I
<br />v) ,/
<br />F{run nr 0E Gr,fr ! lJ.M tl*)
<br />lr.t. _
<br />I
|