|
ELECTRICAL.INSPECTOH RECORD
<br />APPROVALS DATE tD/stG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab i Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilinos (Hard & Sotfit Rouoh
<br />Ceilings (T-Bar Rough)I kwMeter Release il,t7.1,r1 \klrtot-
<br />I
<br />-Y4RoughIt t 2 4.D Nrwot
<br />Service Meter I rl
<br />FINAL tl w lrt vft{,tl<v vw
<br />Notes, Femarks, Ftc.
<br />II l{vrlI'I
<br />OWNER EUTLDET DEI,CARATION
<br />I h.Ehy rtTrrm unJ.r pci:lry ,n Frjury rhd I m .rc6fl tom llr (illn,lut F l,i.n* Il* lar ltr l,rllo*o3 r..v'n (S-.nIl l i
<br />aurr.rt d Phf.sio. C,rL): Ary C y dr Counry *h{h Equr.r t lrlfu t' dn{rucr. .ha. is{rov.. &mnnh'or Fnri, !
<br />{mru.. Inr r,' (. !\llu.. .Le r.qur\ rh. {dr r i(tr kh Frm' n' lilc. r3Ei {rmnr rh.. tI or {r 6 lkd(d Flur
<br />ni !h. lnrn*i\ d rrr conrllr's Lr(.ql llw i(luP.r 9. Conrmms! * h S(trtn Tuxr or Drvtbn I ot rlr Burm. rnJ
<br />Pnrt $ion!(-(i,.)or rhrl h.or\hc s ct.n{'l rtErcfrom !d rh. hasir ntr rh.dkS.J.tcmnl[tr. Any v{hrion.f SerD. 70] l 5 hyrny
<br />lptlic.nr lm . Frhir sut+crs rhr rff,l'(r n, ! c,vrl l. rlry or nur mtr. ltun fivc hurJEd doll{r ll5ur)
<br />-1.
<br />r owkr or rlF FrFny. ( my .,rlfllF! e h *.s6 .1 rlE, r'k $nl|tMrm. *'I &r r *tt Il tlE ture R n*
<br />d.nlal ,r ollcBl for nL 156 ltxa. Blr6r .hl Pn .snN cu,l: rh. Odr&nn r Lrcns lr* &.r d +l'1, lo x owr ol
<br />th. lop.ny wh h{tJ( or r{n)6 rlEE)n. sri wkl &s uh qr* hmrcll .r hcncll {r rhruu8h htr o' h., own .n{'Ly..r.
<br />ln vnkJ rh.r lkh optuvtm.! E nn hlctrll orod.Gl nn el ll. h)v.€t. rlr t'{ ry or irr{'mEmnr is eU wihn (m F{
<br />o{.nrI'Lrrn rlE O*ftr Bu'$( w MErtEtuLnor|F)u$lh,ltrtr{Ednnxln or utn'k rlE FtpGI, ft,llE FqnEol
<br />_1. rs o* .r ot rh. l(,Fry, .m .r.lr$vcly L.n@dn8 rlrh lEcnscJ r..ts.nn h (,nnnr.r rlr ln,Ft (Sa. n!!1. Ilurtr$
<br />mJ Pn)llrqr(irL Ihc(i'nrr&tn s l,i.chr. bwJ*. n rrtlyn, !nowncr.ll|r)tlny whr huilils ot nphivcr rhcr.on,
<br />rntl *h, o.rE-'6 k \Bh|rrFhp hrcr B!'nn llcnc,l p{uur t, rhc G,nr&rd'r l-...8 L*).
<br />llaBf,!f,lsouflNlalla!
<br />OECIAEAIIA!
<br />I lrEt'y .rrrm undcr rEulry ol Fnlry or ol rh. at,U.,*!! JRLnr$nr
<br />I lmE {rl *r ll m.mi.rn r C.n ifu.rc or Co.{nr b s.ll-lnturc for wortsr' crnDcnurfn. a\ ln,vd.J tur hy selr,n ]7D .l ih.
<br />I jhtr C,rL. htr,h.IEn'lll1dc oirlE s't tur *'hkh rh. Fn trx\kJ
<br />I h.E rnj $rll mll lrn *$*cR onll).nlrr$n in{rrhc,.r krlurd ty Sarirn lTlnof rL Lh, Oilc, !,trlh. Frt,lE-c oI
<br />rh( s{t l,n *hx'h rh^ Fmr '\ r<u61. M} wir*6f,oma<n5.rnn rn!{.ft.,lfr, ui FJky Ndx, E
<br />-,-., 5tu.ltn ltat' [/t.<K Mcyvtl "t'lr1g\y'J
<br />",,",""^*,
<br />.-{^\t\i. d</ I 7a I q*',..*.. 7/t /aoJ.)
<br />I *dtirhlrmIh. Frl,,lmnccol thc *o,t ror *hrhrhnFrm n nru.J I rhrlln.r.rFl,y rny **,, !n.,y **.
<br />$ .3 6 lEi'G !u6j(t n' 0r *,t6' c.ftiEMi,. hr! .t C.lfomE. .Dl lsd rtur rr I rlbuld t {ift $b!{t lo rlI
<br />H'*6 Lu{E{rion rnr$r'd 615&rr l?ooot E lirf, CoL.I {dL fdita'rh q,lt!!, * hrli,(l,bvtbB..
<br />r'!rl imr W t! drc hundral rh)lq,i n.ll{! ((r'n r' rtf (n{ or (rmJEn{rr.., Jrru3cs r\ F,vrl.d tur rh.
<br />u(!!$!.1r.!1Nltraciltauxcrrlairr9r
<br />I lEEby nlth un.lr FBliy ol F,lr, lhrt t d liensl !ar.r F,vnrln ol (lEPd 9 rolrllrt fl! * lt sdln
<br />or rlx BuruFi.,rl Ptf.(rinr Ccl., rn n, lIcnk tr o tull rm! .tl.fidl
<br />C q
<br />COITSTRU('TION LFITDING AGEN(1
<br />I lrEhy .rrtn uuLr FMtty or tEri,r, rhr rlEE r . r$n(ulnn lnl6r .s.N, n, rE Ff(,fu-. ot 'lr
<br />qfi itr *
<br />'*Ed lse. l{Ir?,Crv. C )I..r'tNrm
<br />APPI ICA'IT DE(]I ARATION
<br />I d), rtim rnJ.. t'.nrxy o, IE+!y oE ol lhc n)llowhr 'lahrcr rDrl
<br />lhfr)lnhn Pcrm lAstE{.r M '1jur0n liJ.r.l R.!ubtK].rlT(L lll,. Pan6)
<br />_R.qumJ Ir(d ol Nr{'irarr
<br />lccnrlyrh$ rh.lid.rllrctularons (!Ml'ns rshcnol rn,rrl . to, !!d*ahL n'rhN pr*.r
<br />-l..nfyrh,Ihrhralrh(rfi..thJnn.l.lh.rtlEinErn'.rs,FnrsrtrIrSNck,coq,ly*'lh.UCt.!nCounr,.r'luum6 rd Srit l*irLrrmr b
<br />rh'r. mtrrts,m.l nft)Fny l,n 'n\Frr
<br />Rr rn. lrl lErct'y .urlt'@ cF&d!,K 6t lnr c! y .fit C(
<br />ADIlicrnl or,1!.nl Sisn{lun d"D
<br />Sub-Panels
<br />Air Conditioners
<br />14- L
<br />_l e cr.nF uhL. SerM- i. e P C. au rh! rsn.
<br />lrnLfi A&tr.ir _
|