ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE IDiSIG.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 />Buildinq
<br />Under Slab / Floor
<br />Bondino / Groundinq / UFEB
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />It/eter Release I4-b fia^.1 t4nlrr .,{Ytt
<br />Rough I/-ft{t4FINAL//2fl|q /)
<br />Notes, Remarks, Etc
<br />OWNFI BUII,DFI DFICARATION
<br />I h.rcIry rlirm und.r Fuhy o, It,if, rhd I u .rcrii ,iom ltE (i,drxn,n Latnr Lrw fttr lh. a{'lh*io\r.asn (sE 70.11 5
<br />BuriNs ,n Piolisirn (6d.) ny City nr C.utrr! whi.h r.quircs i lxro lo mn(rucr. .lr(, iqrow. rkmliO or rFr dy
<br />(rudurc. nritr to rr FsurE. ah. r.auiEr l,r. EI,li(Ml ror rEh F,nil ri, fiE r ris*n nr.nmr fi,lEor rrr ir lie.cd r-'qEri
<br />n, rh. Fr\irrhr orrh comrrd t Lttn€rl lr{ (clE,t.r 9. (.mmEins sirh Sc.rion 7(t$ or Divi\kr..1 ot rlE ausin€( and
<br />Pmr.sn.i GtL) or rhlr lEd rlE n.r.ry,r lhscln, &xl lh. hri\ fttr rlt rllcr.d.rsdp'ion AnyvioldrionorS.dnnT0.rl.5hyatr,
<br />rtpliftnr Ior r pcnnir \ubj.Lh r h. lpplicunr b r civ il I'cmh y ol ft'r m)e rhd nr. h!nd,.d doth. t l5r[ I
<br />-1.
<br />.r o*'m.l rrE ImFdy- (tr nty cnployai rirh *!Sc{ r.llEir q'L con{f,ndi)n. willrh rlE wrr un rh. {u]w n mr
<br />id.ftLd orolrchd ror sl. (S* 7044.Itusin.s Nnd Pbfrr.$nr Cnl. TIE (i .rcioisLiErlrwdE!(,tpplyio.norHnt
<br />rh. rmlrny En hiEr or inrmrB rh.$...,n *h' i.B qrl xrt himltor,ttulror rtmoen hir d ts.*n.r?bKi
<br />pro\ iL<l rh.r .Eh inrmEE r. E r{ nlgn n dH ft, sL lf. hr*ts. rrx hriE"t8.r i,ltroEnEnr is $U qilhin oic rr
<br />ot ftn$Lrhn. llE ()wEr ltuil&r rill h.E th. t{.dd ot rn,vin3 rhd lE r rhc dd n'l trill or iqnE l'r F rdt t, rh FnF,. o,
<br />-1.os.uncrolrhcFoncny.a
<br />crclu\i!.lyco rr.rins *irn lic.n{rl.ontdtn n, on{tulrt* FnFl lsa 7(}1,1. BNic\
<br />.rrl Pi.ksih Cixk I1rConr*!(a r l-ic..< Irr &r. ft rfflr_ ro in or F .f prnF.ry sl$ hui!.j\ ., i'r{' .li.r.iitr.
<br />!n<l *tF o,Il&r r for tuch pnrFk $irh r Codn.ron t ) licnw{ luru! k,rh.G,ntentr'(l.ic.ntclrw)
<br />z'ffrlq,I
<br />t[!L,\&}ll!]r
<br />Itn-tby trmrn lnds lEnnlryol Fjur, oR ofrn n'll'utrrB rlchhrus
<br />-lh!v.eiEillmintiir0(.nifr0rcol(i'.entk)Scllln\uElor*orl(i!.mncn$rn,n.!rpmr.nro.hySRlnn11r,oirh.btxtr cdc. ld !h. F.formB! oi rh. rc fr *ti(h rh. Fmn F i.rurl
<br />_lir\.rndgillnui lin *orkcn .ongr srr i('n nnursm.. tr\ 'cqtrrhd h) SRl im :l7l X) ol rhc I jtrr (id.. irtr lli lirfdmN. or
<br />rhc qo t, wh{nrhn n rmi! '\ n$J Mrso,lda omFMir)n nuhtu...n rntnltynu, f,,trc
<br />l.cnify rhar rn rh. p.rfo.mec orrh. *o* rd shah rhn txrmir rs nrEn. I rlEll ftn mI,kryxtr! Frsrt nt a.l nunmr
<br />$ ar r,lBnm uhFl h llE sorl({ n,n{Ener i)n hr\ oI( alil,rnir. rnd ald rhd il I rfu,uld tEd,ft \uhFr ft,rl{
<br />\odcn con{rneri,'n povi\i'i\ ofS&!on 17(x)nfrh.lrhtr C,xl..l rhnll ndh$[h d',irl'ly rith rhtr Imvnim\
<br />$ f,NN(; Fihi. ro ffi qlll(dr' on{EMnn .o\tr8. ,\ unhxful. rnd rn ll {niri u diokrFr tu nimnd FELix 3.d
<br />.ni, ntu\ !t t' or hunlr.d rh{{dl drl14i rll(f,i,ltl(r. in (ldiri('tr
<br />s..rrn, \rn,t,rlr.lrhtr conr. I
<br />7la/c Z/ I
<br />I hRhl alrtn und.. ,EMlry ., FrFry rhrl l.n lirtrEn unLr Envnioo uIChsf,rs I (runrmrurn8 wnh scr$n 7(IxrIolllivnii,n.r
<br />.l rh. atrsrcs rnd Pn,fcl$onr Codc. lnd my ii:.ns i. in tull (nE lnd.fttr
<br />lalilf,llqtr!)lLExDlNliJilBll
<br />I rEEty.rrm undd Frty ol F.,lry rh, lltE i r od^trit r'dina r8my ror llE F rdrrlr. of llE brl frn whkh rhL Fmir ir
<br />irsEd (sd 109r. civ c )
<br />lrnd.i. tl.n. _
<br />klnc.i Add.lr
<br />-
<br />AItLI(;AdLIIE!IJAAI]IIIi
<br />I h.r.lry oflim und.r l.nlrty of FF.y oF or rlE folk,*in8 &rLnri,ni
<br />Ixfr'ldi,n P.rnnr Arhrn'rN.{ncIbn F.d.nl RcBULr r'.s r l ilL ,l)- t!n6r
<br />Rcqurdl lrncrof l.d iltrr
<br />lcriilyrhd rh. f.drrrlnluldrtrln( rclanntrF u\ti\lo(nnn'vrlirc nor lflltxhh k, rhr nn,Fl
<br />I.dra) rhr I hJt. rr.d rhis rnIli( i,n,rrl nrrc rhi rhr rh\. itr,,muti,'n n(rtu l!!.Nn,.rnrlly$irhall(iry!fr1(in,nly
<br />;:::'{'
<br />htrr. rrtrrnrn trs ulr
<br />.Nu-xi>A avQl \,','r^"))')//$-
<br />Service Meter
<br />(_
<br />(on ol cotrln.tr\rri,trr JD'nrIc\ !{ nn'vilc,l t' rlt
<br />=
|