|
t.tAPPROVALSDATEID/S I conltuerurs-l
<br />Underqround
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Buildinq
<br />Under Slab / Floor
<br />V&tlt)y-z-t1Bonding / Grounding / UFER \JTransformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Bool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Solfit Rouqh
<br />Ceilinqs (T-Bar Rouqh)A,
<br />Meter Release {-6-t1 v.w10
<br />I
<br />Rouqh
<br />Service Meter B-7-l't v\llib
<br />FINAL ?./or /'t
<br />Notes, Rem rks, Etc.
<br />dh/c/t4b4L
<br />OWNEN BUtI-DER T'ET,CARATIoN
<br />I lEr.t',.lfrn undd Folrr r'r FrJUry rh.r Io.(nfl ft'm rli G'drd.F Li.cnc Lr* for rtE lolhwinf rcrsD lscc x)ll5
<br />tiu\inc$ urn l\ol:$n,n Codc) Any Ciry or Coumy *hih rcqun.t r Fmn lo on{M. rhd. mvot. d.mlilh or EFtr {,
<br />(d!rc.Fsn,nr i<.lft!. s Gtxn.r $. rPtlier n, lkh Fmir x,lilc! ri!ft{ {.l.rnl lhsl lEor {E ir li(cnBl Pu u.,i
<br />ro rh. pn,vti,'n\ or llx C('nk hlr Ln.n€{t lj* (Clupr.r 9. cunmRln8 r(h Scrhn 7(m or Drvirirn I of iF llNir( lnd
<br />Pn'f.s.bnrc.xlc, rhtr lErilE ir cr.q{ UE.fmnrnd rrEhit n, rh. alkEdt.r.nqrirn Anyvi'lariotrofselbn T0ll5nvanv
<br />arplicrnr ror a r.mil suhjcx rlE lnpltrlnr t, r rivrl Fnrlry trf mr mJrc ihrn fi\c h!.dr.d dolLF ( !51D,
<br />-1.
<br />i! wtur of lhc poFny,.r my.q'hFl *nh *rscs trt rlEr Y'k ('n Enqlnn- r'll(tl rrr ffit Jn llE rndF k d
<br />inrcd.d or ofi.rcn ntr sl. ISa 7{X.L Buaim$ lid Pn,Ls.i,rN C('d.'Thc (i,nts.kr't Ltr.nE ti* dEr d, dmly k'.n owEr ol
<br />rlx Fqfy rh, hrilii d qmq rtrBn anl f, hl d.s *-..h *rt hin€ll or h.r{tr nr rhFolh ht r h.. o$ Itt'h!6,
<br />n vid.Jrhlrssh inDmErE,{\ t , i'{cnLrl oroll:E'd nr <.h ll lnl*cq. rlthiHin8or iqlftrd ir$U *ihin'ft Fr
<br />or$iilia,.. rh. ()$E BuiU.i $ill hnk ilt t0nki nfF,in3 qlEtrlEJArnrniBorinFIErh.FIEiytutltfrF)cof
<br />I. n1 owrB .l rh. rmFn t, af, cr.l8rEl, &nrdr! $ h larnyn .onrrd.^ fu onlMr rll l'nF (".* ,0{'{. Brc_
<br />rn lrDliasir Cod. Thc O,ntrcr,r'\ l-icc.{ I r* &!.\ nur .pply lo m owncr ot Pmrcd y thl huildr ot imPo!.r rh.r.nn.
<br />rtrd uho .o.tei! Id rkh FnFdi *nh. (i',rBlonrr lun<d ru|anr b rlE (1rrrdor'. l i(ns t e)
<br />-l.mcicofl
<br />otob **rr,i
<br />$lratr};$:ll]IllfraArui
<br />Dl:cl./txtlIaN
<br />I hcrrhy rftr'n undd pcN,ry ol F'rtrt ot ol rlr f,nL,qin8 rlehrarnn\
<br />-l
<br />hrF dt*ill mmiin . Ccn if.I. oa c{'n-nr k' S.ll ln.urc n, *nll6r' i,'nlidgrir. $ ,tn, tu ntr h, Seri,. J700ofrh.
<br />lihor(inc. nn rh. rsfornumr ol lh. *ork nn *hth rlE Fon ii itiu.d
<br />-l
<br />hrv. dnd eill nuintrin sork.n coiFn$rion inr!r.r., $ r.quirn b, ^*trn lru) o, llE Lttrn Co&. rd 'h tEdqBc or
<br />rrE h.t for f,hth rhis Fdir ir Li{td My rorldi .onFnqlion in\nnN ctrtt rl lDlky nudhn a.
<br />)
<br />t1 .P_
<br />-l.rnify
<br />lhlr in rh. FrrormRt oflhL *ork n, *hi.h rhn p.rmr r nnrcn.I rtEll { .r?k,l lnv Fr<,. m r., ro.rr
<br />a, .( hr b.('m qhFl !r rhc *',tc^ arr{Fn{rirn bss olCalil,{ni!. tii rgR thlt il IrbuH tFco,E hrcd n'llr
<br />{o*cr con{Enqri,n pn'tkirn\ of SNhn:lr(x)otrlE lihtr Cdc.I \rEll. iflh*irh oq'ly $irhrlhr lmiriN
<br />WARNtti(; Faihr. t, {curc $ortcn d,mttnsrtr
<br />.ivil llm\ W k, n'f, hu.JrM rhouunl dolh,\ (SI(
<br />Sc.ri,,n .1076 nfrlr lrhn (-rit . rnrec{ xnJ rrk,ftJ
<br />r, !Ncmec tr unLtrlul. ,rl.hrll \uhF(r /n fiY'L.F t' nmuMl Fnlh Jri
<br />rrrrx,'
<br />'n
<br />JLltrirr{' ru rh.,inr 'n..Drrnsrtrn. drntrp.. r. nh,tdc&I. rlr
<br />.f.-..
<br />q-/t-/7
<br />IEIIdSAIIId
<br />I h.dhy rmnh !.d.r Fn.lry o, Frjur, rh,r I !n tic.td lndcr ltstnion o, orFd 9 {oltmEin! *irh sdbn ?{ft, oI D[ ni'n I
<br />of rlE Ao.nBr d Pmr63iort Codc, &d ny li.oe n in rull n,E u!.lI
<br />,,***rr* b
<br />D." ?-4-/r
<br />L?014{
<br />I h.rt'h,afln'nu cr Fnnlryol Frjur) rhri rh(rc ir ! $n(n'cltin Lndih8 r!.fty tu rhc I'rfitrm^-c ofrh. $orl l{tr shih rhr Frnlit i\
<br />Fnrd is$ 10t)7. c^ (- |
<br />AIIIIIINLIIECI.AIAI&Ii
<br />I lEnt'y riin uELr p.nnh I ol F.l!D oft rl thc irkr*ing &{hEri'nr
<br />Dc i,liri( I'crmil!Aclx(o\ Norili.urion l'.d.ral RrEullriom ('lrrl. {r, Prn6r
<br />Rquncd l.ctr.r ol N{rifi (arir
<br />-l
<br />..nil, rhlr rlt t idal rcSulari'nr rlsdir! r\tsrx ftmnal !rc fl{ 'I'l'li.t'h ro rh'r rn ia:i
<br />-l
<br />c.nrry rh,i I h{r E.d lhir rnpli.rion rd q.r. rhd llr !h'\. innrndh. i coml I rsr< h d,r?rv rnh .ll Cirr.nd (-.unrv
<br />orlierc.i rnr Sr.r. t *r rcl,rins ro hlildin! .on.rdqiqr 0d hcrchy rurh*iz. r.Ir*r rriEr or rhn Cry !,n (i,!nrv ro ..rd uFn rlr
<br />ELECTRICAL.INSPECTOR RECORD
<br />Site-Work
<br />Communications Cable
<br />/r.. \
<br />aN,uufi
<br />.,h'. En,i,Lrr prF \ r,tr tr'.ry'* N.I'y!-
<br />noor,*,- no ,',*nficz e-- C----
<br />l..m,FEtr,pr,n,': - 7oIJO- (bS/et,-
|