|
ELECTBICAL-INSPECTOR RECORD
<br />COMMENTSAPPROVALSDATEID/SIG.
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />LiIe SaIety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding i UFER
<br />TransIormers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilinos (Hard & Soffil Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />L/e/1t f/Qa7 a z /cf
<br />Noles, Remarks, Etc. /
<br />r)\\ \t R at I rrf* lrt l.( \
<br />_l rocr.hB undcr S(rrnr-. B & f C nr rhl( r.!v,r
<br />WORT(ERS' COMPENS{TION
<br />D&CIAEAITAB
<br />I rEFh/ :rrtrB ufti.r Fd!, ol FJury oE ol rlE folhro3 lkrmlrB:
<br />._l h:k.n *rll d.D r C.nlfr.t. ol Cnn€t li, Sclf-lnr@ rd s{ls onlxndrn
<br />ljhtr (r1.. lo. !h. Frlolrtlfrc of rhc u,a n, *nkh llE l,cm E !s!dl
<br />r\ rnrrl.J l,n hY S.\rN,n l7(rr olrhL
<br />lDi *nl mullu *"*.6' -"r{E Equtr bt S(r-n r7m o, rh. lrx, cd., lor rlr FrftrM 'rsdk r'tr trhkhr[trlirnn! r rruil Myw.Ikcr'$n{F
<br />y.rc bot \\
<br />'lvrhlr rrhe n(rlnnun.r olrlt *.lk ln! $hrhrhr n rBn h rn'.,I 1dlll'r cnIl.vlnvFrvn' 'n
<br />anv nEnk-t
<br />n, lErB lu5rdr ro rtr u'*qr' .r'n{En{r.n lr*r ol Cdltomo. lrl .rR rh, n I rh,u! h.roE ruhid ro rlr
<br />sorkc!\' ronlFnsrrk,n t"nvtrtr F o,Sdron.l7lDolrh.bhtrGic.l \hill.,"nh$(h! m0ly* hrh'tPn'!^$nr
<br />IIARNINC l'nlurc k' r.ur. *olt.^ (otr1tttrrdilr (drrr{tc ,\ trnl.'$tul. rtr'l \hrll \unt(r rn . ' ovd r' rnnnnal Fulr' 2nl
<br />.r'l lur\ un r, oN huBlr.d rhotr\!frId lhr\ (Slllr.(xxl). m rddiB{ r. rrf,.o{ olco r|l(n\!r!tr'. dml'8.\ a\ E'viJ'J nr rh'
<br />S..rir !176ol rh.l/htrGi., orcrcr nl rt'm
<br />-'4t rb lrQ:_..-_r
<br />DECI {iATION
<br />I lrRhy .lltm utrl.r lxro!' or rEr|ury th.l I e l&n<rt uhld FtB,'n or Clut{.r 9 I L..mNi.3 rrh
<br />o, rhc Busmlrud Pn,a.s!,niGrL, til my lr.ns N i.tullfoEtdrxl.ll(r'
<br />cAo q
<br />'7/rbltl--l--T--
<br />CONSTRUCTION L'-IIiDlll(i AGFN(1'
<br />I h.Rny!llnr rllcr Fnulty.l F+'ry rh, !h.r. N t (.tr(ru.rtrn kiJ,4 d!.tuy nr rh. tk,,,rnM( dl (hc
<br />rru.tl (sd. !{D?. c'r c.,.
<br />t nLir A,.,.lE!r:
<br />-
<br />AEU!:6!iLDASJSA N
<br />I tEFhy lttim un'lcr p.n y Dl Pcrflry on. of rh. r,th*r3 d.c lm( rnr:
<br />l)cm'lr.n Pcrn l^slido! Ndllitdr)n fri.rll Rqxhrint (Trh 4r' Pd6r
<br />R.qumd lx(e!ol Ndninlk'n
<br />l .$ r rhd rhc l.derd rc8uhrn)nr EB dtrr8 astE(or rcmrvrl k kn .lnluhL r, rh,\ ln,Fnl
<br />-l rdny ih:l I h.rr r*l th rru,lt.ri'n url iln s ('Rr I .!.a b o'r{tly rrh .lt C t rnd c.unry
<br />o (ltrirn(\ fll srr.l.r*\ rtl \ nlrhtr (''ry l (,n'nry n).Nn uF rlr
<br />drrt.rnri)Rd F)Fny lnr 3(l.8/rq
<br />FINAL
<br />I h.chy ltlmr und.r FMr, ol IErJlry rh.r t h .r.n{tr lNm thc OnM&6 l.r.nF l,w rlr rh. folkJwn8 E.in (Sd.?oJl.t '
<br />6!sin.rr ui ftorerN'n cdL): Ary C y o, Cd y wh.h Equrt . ,.r k' .oNler. .116. mFoE. &n irh o. EFn iv
<br />(ru.rN. trrtr ro r LriuB., nr, r.i]!m. !h. +rlrsl for uiFtu to nE. nsFr nr'.mr rh.llEqdE.lffi FE.d
<br />lo rlE pn'vni'rnr of l,x Conksttr r L,itns.l Lrw (ChrPl.r 9. Comemirg wfh S.(ri'n 70OO ol Drvrnn ] olrrh' ntrnm( r'd
<br />Pn,ft(r8 C{rr.) u lh.r h.or{E !.r.m0r r,E drob.rn llE h$ n tlE rll!.n.i.tpr!n Anvvri.rDrotSdnn?O!l.lbFnv
<br />anpl'rtnr ror r n mr !ubj.!x rlE {lft.nr ro. civil P.nrlryol mr m)E 1tu. nw h!.dr&t dollfl ($5tx)).
<br />-L
<br />r\ .wrr of rh. F'F y. t* n! .mPloF.! vtrh *l3.r I rh.r $k d'rl..d$n wil & ltE H rd rlE iBlF r r'
<br />mrcnLJ orolitftd for sk1Se.70,14. Bu{Br!d.! Pnrdsk,N Co,l.: TIE Cro.r..htr ! l-i(nt Ltw&Esmr !r yk,rnowncrof
<br />rh. tmlEny wb rlrll] d in!n6 sla !n $tr &r uh qxt hrnkll o. lERll o. rh^rlh hN d lEr dvn .ryltrv"r'
<br />Fovd.n rhrr rhh hF Emd\ E r, dmhl oronaflj ijr d. lt hrHw. rlE lnun8 or oth&rtr ! $X *rhh rtr ,u
<br />:'IconrLlr4 rlt o*rr Buirk wIll h,E llr hlrk of,rovlB lh,l lr or dF,irl mr lndl or i,qmt rh' FUlEiv tur rh' ,rrFr uf
<br />-1.
<br />rl ostr ol rlE F'Fny. m.i(h!Ely contturf3 wrh lEnql urfftls b.unrM rlE Inler (st 7044 BtrliE(
<br />jn Ptt{:\.rnCix,c: Tlr. cod*loir l,E.r l,w.k r mr rPf ly lo e o*nd or Pt)Fnv *b hrrltt or ma'Ntr rLh)n
<br />.n,l whi onltulrnxsuchI'!r&(wirh.G,nrm!,(s)lr.n<dfuruuttilhcC:otkrck'rLi(.nseL€w).
<br />lhl.
<br />-
<br />orFr-
<br />1
|