|
ELECTRICAL.INSPECTOR RECORD
<br />OWNEf, IUILDER DFICAXATION
<br />I trr.h, rrrh uidd Fulr, of Fqc, rh.t I o .r.q{ nnm th. Conlr.doF' La.ns rle ror rh. tullo*int Er$n (sd 70.11 5
<br />BuriE$ un Pnn.srion Cdlc): Any Ciry or Coo y rhi.h rcqu'Er i rE.mir lo onqtu1, rhc. nr{trow. &mlilh n, qri tny
<br />lrtucrlB- Fitr lo nr nsu!nc.. .l$ rcquiEt
<br />'h.
<br />.,dain! lor rkh Fmi ro (k . ri8En ndcEnr rh.r lr d rlr i lidrd ,!! f.n
<br />h !h. Fotision. or rh. Co, rrctr'r l-irn-d Lr*' iclEpld 9, C.mmrirs *irh S.clhn 7(tro of Diirh. 3 of rlE Busimss r.d
<br />Pnrrctrionr Co<h r nr !hr' lE r rlE i! .r.n , rlEEfm( rd rlr |Iln n, t llLslrl dcmpri.n An, viobr hn of Scrio. 70.r I :i b,.ny
<br />,pplic..l , r Fmi {hFrr llE .mli.nl ro..ivil Ftuxyorn fr,E rhu liv. hundGd d.Ul! 15J00)
<br />-I.
<br />I opNr orrh. tolrny, or dy..r$k,tB *nh w{s at rlE s'E oqE$db.. *'ill&: rlE wt rn E rrEtE ir ml
<br />inl.nlql d olYftd rd sl. isd 7fi4. aurlRi,i Profr<i'n Cod. Tlr Cofrrlr'r lirnr L.r dB
<br />'Er
<br />.I,ly lo D n*E of
<br />rrE Fld, wt tuilld inT.oB lhasa.,n wb.16 uh Rr* hin*lror i.Nlror rhreulh hh 6.lEr oMnrI,br.n,
<br />prrlLi lh.' tkh ry,.ted. e d .d.d ni ortu fn rh. lt lhkE, r hlrBn! d in!ftwrd i. -5 rthh m FrDfcrrq'lrnc rlr r)wffi A! k wiu hrk rh. hnd.n ol Fwiry rtr tE or rtr di d lxiE d dtftk itE FtrFr, ,ri riE IarFE oI
<br />l. rs o*rr ol rh. rmlcny. emcr.llsircly.onrrcrinS *nh ltchr.rl .o,irdm ro 6nntu rlE pnr,rn iS.{ 7(x4. Bu(m$
<br />and Eoltrrir Cor,. l hc con!*lor'r Lkcnc 1,, d(E! mr .pply io o 016 ol Pro,rny lls hoilj. q iq'.ow! thron.dd sl$ snrrd! f(n sh F,t 1. *irh. C.drroit!r li!.<n ,rAunr h rh. C.'dr(ror'i l-k.ne l4w)
<br />I um.x.'npr undcr S8ri,n_-,8. & P.(- lnrrhF E:s.
<br />r8rBf,EBl:grutBtAn0!
<br />DEI,I.ASAIII]!
<br />I h(rchy tfih undd F lry ol Fiury om ol'rE folri," ina &.br.rlB
<br />_l hlr ed vill minrtin. C.niard. ot('on*nr '. S.lf-!tr{G rd wl6 erFrglinn. B FviLd li, b, Sdiio..l]m ot rlE
<br />kntr C.n , ld rlE Frf(lmm olrlE krt ltr s{ltt rli pdrit it irod
<br />I hivc .d *ill minltin *ork.rr $n Enr.li(,. iniurlke. r! i.quR'l by Sdr i6n .!7U) or ih. hh.r Cod., for tlr Ffi'mN o,
<br />ihe k f(n shcnlnirncm
<br />'! aqd. My *mt6r'6nFMhn lmrmc €rir rn |bli! n!n*E,.:
<br />_l enrfy rhar in rh. Frf.ntu'k. ntrh. *ork litr $hth rh{ pcrnnr f il\u.d. I rhull mr enTl,)y.ny IEro. h..y m.'Er
<br />$ $ n' hc(!F shrrr tr rh( uo*cr ..mltnerNn htr \ ol (-nl'l n'a.a elRih irl !h{lt tr(rm hF! rorh.
<br />worrr: o"{rnrdi,n nowi,s or Sdri,n lrfii of $.
<br />WARNFiC FriluE i. mE rtrt6 onFdion !J+
<br />ird.. I nEll fdhwnh mrrgly virh rlh* Fnthm
<br />n unL*ful. lnd \h.ll iub|c{t .n cnph}lr h nmi.il En.hi\ rnd
<br />(iril linc( un r, oh hundrd rlk,uq t dollr\aldirion to rlE co( ol.o.{Enrritn. drd8c! r pff'vil.rl nn r,r
<br />s.Lrrrr rr.ii rirlh. I xftl ( ,tr|l. frr.(
<br />ln.(r \R\ I r()\
<br />I h.tt y .frro un<tr Fuhy or rcrrury rhn I m lirns.d udcr Flvirnn of c1Elrs e l.ollmrin8 uilh Sftlion 'r(Ix)) ol Diln.n :l
<br />ot rlE Burifti! {ld Pmf(rbB cd.. .,n mt la.nr n in nill Io ! !d rlr6r
<br />I hcEt'y rilrn unLr FMlryol FJUry rhd rh.r. ir. a,n{drh Hint.8ft, ftr rlE Ffl,rltn! rf rlE wl 6, q|l.h rhir Frmir k
<br />AITLIIIIUIIIIA8IIII]N
<br />I Eq+ 'nim u.d.r lEnrlry ol lErylry um of rh. Llk,rinr d..Ud i N:
<br />l).ml,rion Pcrmir!.Arh.rlo< Norturlio. Ircdrrdl l{qulntirnr lTitlc ll{t- Pan6)
<br />-R.quir.i
<br />l.n6.f t{{fMrir
<br />l .'JlnNl nnrr.trnl 3n\han\'. xrrlrc tr.rxtrtrl(rhlt t, rhrtn'Jlri
<br />i,n ' n,k rh.r rlr.k'rc i orndi'n n.Ilr-1 I .rN roo,r{ y *irh nlCny.d Coufl!
<br />, hu iH ins .rnqtu.ri,r. rlh.(hrrdhtrnc rcfl.{nrxr*.\ ut rhN(-iryi
<br />APPROVALS ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />S AS P ool, Fountains
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab i Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls Rou h
<br />Ceilin gs (Hard & Solf it Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Rough
<br />Service Meter -Ykv4etFINALlLlt/b4 n zr)
<br />Notes Remarks, Etc.
<br />tl,+naao ru?u"-
<br />DATE
<br />Siqns (monument)
<br />Torqueinq
<br />Sub-Panels
<br />Walls (Conduit)
<br />U ..t"raa,,rs, rnur.,r ^atta'
<br />i$Bd lsc lrl)7. c^ c 'k.d.^ N.n.
|