|
ELECTRICAL.INSPECTOR RECORD
<br />APPBOVALS DATE ID/SIG.COMMENTS OWNEX BUILD& DELCARATION
<br />I hcrcby uflir undc. pcnulry (,f pcrjuy rhd I m .r.npl lon rh. ConlrsloF Ltcn* L!* tu rh. rolheirg Esn (s.t.7031.1
<br />Euii4s Ud Ptursri,n C.&): Any Ciry or Cddy whth r.quiEr . rEn ro n'i{nrr. !hd. rprcE. &mlnh or rcFr My
<br /><mm, Fr h n! iril!ft.. rLo Eqoc. rlr {pltur for sh Frill to lik r ri8En rffid llul lE or ar i,li6Bd FN.n
<br />tr r& rrvnioN ur tlE Conrrtor'r L...€d r,* tch.P.r 9. Conmritra *ili s<rbn 7(m or Divisan I of
<br />'lE
<br />BuiiErs rd
<br />Pmfc$ionr Codc) or rtut ,r or \h. t crcnfr rhdcrron lnd rh. b..ir l rlE allcS.d .Ehpliof,. Aryti.hrionorsc11bn70r1.5hyrny
<br />dpplkdr Io. d,xrmii rubj.rr trE rlrli<lnl lo . civil ,cmlty of mr tur. thd live hundEd dolL,. ( tJm)
<br />_1.ar ow6ol E F$Fny. c my.qfiy..i wirh w.!cr rrlEir $t on+.ndi)n,*iIdo0EqdrniEqtulEkml
<br />inrc.d.n or olflEn lu s! ( Se.7otrl, Blriftr. .nd PrDrdrbn! Cod.: TIE Codr-ioi r licnx l,* dc. mr .Pply b a orNr or
<br />rlE nmrEny who tlildt or in{rEs tlten, irn eb ddr rk'h slk himrclf or h.Ml,or rlNnBh hh h.r o*n.riby..s.
<br />povit d rh.r !!ch inp$wns e d i,rol&d q ofltfd ror sh li rD*.E. rlE t iBin8 or iqmwnl i! eld Uhin oE ).d
<br />o,Lb'r$bin( rtr Olrr aurE sil rrE ilr hr&rofFovnE dr lEn {E dil d hld q in9r.E E Flpdy ntlj! Frpor or
<br />l. isown.r olrh. treFny, !mcxclurivclycontrerins wirh licetr$d coitaroB t' (r{dd ttE !rcj.lt (Ss. ?o14, Busincs
<br />!d l\oErndc{d.:'I hc G)nrn.ior's l.i..nt. b$ ddi frr.Iprr..6o*mr ofI,n'pcdy wh' t'uildr or inrtuhr th.rcon,
<br />lnd vt !rdd. for ruh FoFdl virh. co.rtuJrn, ltdd |l!6d b rlE co.rfm r l-].cns La*)
<br />I mcrcmnl undc, SdrFtr .8.&P.C n{ rhFE.r,n
<br />D.i.:-
<br />-
<br />O*E-
<br />worxPxs coMpEisATroN
<br />DEII.ATAIIIN
<br />I hEny rmrm un&r r.Mlly !l rErjur, oe or $. rolh*im d..Lmi,nr:
<br />-l
<br />nsk.,n *ill uinri. r Cdirrn. orCDmnr ru s.lf' l6uE fo. *orl6s c'r{Ersrio(.r F,vit d ror by Serid l?m.rlh.
<br />llhd Cod., lc llE Dqf(li]rlN oft& k l ru whi.n rlt rErnn ir ir.u.d
<br />-l(h!w rnd will m'nrrii wodcB conlEosnion i.!urrc.. s rcquiGdbysdhnl7moldEtlborCod..forln Ffo,r1reol
<br />rh. sork rorwhich lhr !.rmrl ir nqr.d Myso'loy conFNrri 'nrunmc ffi.r.rn FlEynumh.ree
<br />c-", L\ (B€PY
<br />PnrkyN,.h.,@r4r.., \o l<'l I ?oa,
<br />-l
<br />ccniry thnr in tlr Frlbrmm. orrE wori fq ehihrhn Frmii ir illkd.I \n!llfln.nphy lny Fr$n in dn, lNcr
<br />s, .r lo lE{oE rubp:r k, rlE wt6 NqEtrdioi !w( or Crifomin. .,n r3B lhc irl Cruld lErom $bitr ro rtE
<br />*o n' $ns.ndi.,n lnrvnb.s of sdbn 17m ol rtE Lltxr co&- I {dL ronh*irh q,'rl|ly wnh 'b. Flvir.nr
<br />civil limr !p ro oft hldEn lhousnd &,1!B (Slm.UI in ddnl'n ro ilr .o{ ol.onp.nqrion. d.fl8.r s prcvnd lol llE
<br />hra,n 1076 .r rlE uhtr c*jc- inrcR{ rrl llomt rz lz-l'zo
<br />DECIIEAIIIIN
<br />I h.r.by .llrn udcr FDlr, o( Frry rhd I m lie..d ur*r F!*o. or clrF( o (offiin! sirh sdin ,(m) ol Divnbn l
<br />of tlE BuriEir &x, PNrca*'B Cod., ,n ny li..ne r r tull roN .Id clfd.
<br />.***.r.41a 4-.(L -ato€1
<br />\-YJ
<br />colsralgEqlJ.EdDAti-aliE&gr
<br />I ltBby tm ur&r Fohy ol pcrrry lhd rnft is . o.cMbn lcfllins .swy ror itE Frr(llrlrm of lrl rgl for *hih lhn tEni i
<br />nsEn (ss 1097, civ c )
<br />AIILISANLDDII.AE{IIA!
<br />I rEE-l,y lnid o.d( pcn,lry or Frjury dB of rhc lbllowing dalut ionr
<br />D.mliln. P.rmnlAst$ls M'riarclli,n lid.rrl Rcrnhri.! lTirk.r0, Pon6)
<br />_RcquiEn krldof f{rlfsjd
<br />l.c,1i,ilhll lhc fcdc.ll rc-qulslions E[udina a\hc{os krmvJ ec n dff,liclhL n, lhh pnJccl
<br />_l cd,ry rha I h.E rc&l lhis qr,,t.rbn {n rl!l. lh.j ilE .bo* 'nrodi,n n .l,Rl I .38 lo N,ml, ,nh .I Ci y rid Counr,
<br />uilmtrca rn Srr. lls\ E&rir8 ro ldiit on{nar-,n..rn htrbyrutnrizEFtE diaof lhlCnyud Couni,iodrd uF.ilE
<br />rh*c 'mnrrRlB)pcdr n, n
<br />Dc-'r<s>e1
<br />rz-lzzl zo
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Rouoh
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc
<br />Rov oa'07-201!i
<br />Under Slab / Floor
<br />Meler Release
<br />,,^," Qllo ['zt-
<br />f-------T------
<br />=
<br />=
|