APPROVALS DATE COMMENTS
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Lite Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Bool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Belease
<br />I I
<br />Rough Y ?rS\tb }JUb:
<br />Service Meter
<br />FINAL /o ,/1fiA-D
<br />Notes, Remarks, Etc.
<br />EJ-ECTRICAL-INSPECTOR RECORD
<br />OWNE]I BUII,DEX DEI,CAf,ATION
<br />I hcnsy.rrmu lc. Furyo,F,rryltl I m.rcq{ fn'm lh. Colrrxrm Liw l.w lor l,E follori'! E sn (S..7011I
<br />8liimrr rd Pror6rio. cod.) A,y C y o, c@d, ehih dtoiE! r lrrx h 66rMr, .ltd, iqftw, &mlrh or EF dy
<br />rlMlm, Irir ro irr is G., lko Equ!rct ltr .olli.ur f.r rkh Frmir i. llk i ri8md rill.md ltul lE or rhc n liccnEi pursd
<br />ro rlE F)viri'6 ot r,r Cort.rq.s Lirnid Ir* rch.flq 9, Conwrin! vhh s.<rim 7fln d Diririin :1 ol rh. Buriftg rnd
<br />Prof.$ant Cflkr or rh{ lrd rlE k.r.n!, rrEBfnd.rn rti h.sir (r rlE rlE!.n cr.rpri,. Any valdi,n of Sdbn ?01I J by ay
<br />.rpli.anr nn r Fmil rubjftk ih. trptlic.nr ta. av,lp.nrhyotnor fr)E rhln fiv. hundEn d.Ius tS:lO())
<br />_1. r. 0*6 of i,E tfrFny. d nr.npk'Fr wnh *.sB r rlEt $L Nqtnr.ri.tr $i[ (lo ,r kit rn dr <dE 6 n,
<br />mtn!.d..oltcEdldnErSRT(x4.Burir.s.idProt6.bBC.ilc:TtE('o.rtum'.LarnEtrf,.,€rmr.p?lyloMowEof
<br />rlr F{.ny }l$ txildr or i,qmB l,Es,c ud *b &E sh u,t himr.lf or lErclf or llmlsh hk m lf,r own.n'plorftr,
<br />lnivitdl rh.r rh rrlro\ffir ft tr, ir.id.d i,oH 6r -t llbffi.itlt init d ir+.o*'d i-B*ahind F!
<br />nf MipLri^ tn. O*Bt auldo ,i! IEE rtE hnki or Fovint rha lr 6 {r dil d taiu d i4rtrE dE FIdy fr 0E FrrFr of
<br />-1.
<br />.r ouE ol rlE F rcry, u .xchitiEly onrdin! r nh lr.*d odrdm to odM tlE FoFd 1S... 7(44. BusiE(
<br />in M.rsin Co& Tn Co rxroa. l-t.n* L.w &Es mr .q'ly ro e o*d or prcFn, *tn h{iur or improB rlEkn,
<br />rnd sho onlmdr lor sMh In'J..k qirh r Conrtuo(, Ii...*d l,uAd b llE Conrr&ktrl Lt.trE L$)
<br />l.m.kmpr un&r Sersn . B & P(- ftnihr rc!{)n
<br />!tl8f,E&I3:0[EBSAIq!
<br />DIIIIAAIT]N
<br />I h.rcby lmrmlntlcr pc..hyol I.rjuryrnc.f rhc lnllt'ein3 d..lirdiods
<br />I h{E.rn will minrri.. (tdfE.k of collgr k! srlt lntur fd *$t6 sn!6{i.n..! Forrd.d ror byScrhn l',(n of r
<br />tjk Cdr.. for ilE lxrfomE. of tlr e.rl Lr *tth rh. Fmir t i*kd
<br />-I
<br />bv. tnl willtuinhi. worl.u- of,{E.qrion !Bunr.. ( E{u,.d h!Sclii.lTuroarlr L.lx! Cnl,lmrlr Fr(m or
<br />rlE sd (r whth rhr IEmn a trd My,mtd onpc.qra,n iBu,lm c.ftr .d |rlry.urlE !.:
<br />Poky Nunftr
<br />-
<br />\[LI d'ry 'h, d rlE rErfolrr.N of rlr wn* 1., *hih lhi! Fmn i! iir&n I lhil Er ..rk y rt F$n h.try Mm
<br />$aiotsr{bi<b r q,tsr'o.qEMir Lrr ol('.ilomi. !n rgc
<br />'hd
<br />if I fi'uH tEroE sbr<l [] rh.
<br />srtm Nmpcnr.rion pmvniof,.ofSarion l?0oofrh. t txt Cdql tlEll. fonhrnhomJ'ly *nnrh* pmvirao.l
<br />WARNINC F.ihtE ro Eorc *rt6' s,qEtrerion oEE3. i unu$tu1. r.d fill sbFr , aril,F io dini.d Flrli\ rd
<br />civil finc! uI ro om tlndEn rhousand dollM (tl{xr.000,. in rddirinn h rh. cn.tof cnqf,i$tion. &tu8lr rr Imra.d ror fi.
<br />SNtnn !{r76of rh.l,kx C.,& br.Eirflidroftt\fd t\
<br />,.", alzrlts ^*,-.* Jr,turl -XK' I utEltED-ct Nllacrar
<br />DPIIJaAIf,I!
<br />I hdhy rflirm undcr JEmh! of Frrry rhd I h licnrl und.r
<br />',orisbn
<br />orcbl{d I (olmNin8 *nn S.dhi TlIx)) ol DtvFi'n l
<br />nr rhc BusiBs ..d PDtc$idnr Cod.. dri Ey la.n* il ii nru lorcc !r'd carer.
<br />,-,-"*a**, I
<br />D.. <lr,/ts l-N \c Nunrh(r \ola1t5
<br />7Ctt4\E
<br />c!)lluf,ucurJNl,[NlTllc-aclBcr.
<br />I tRb! .rrn u.dd FrEx, or Fr/ry rhi rrE . r r s.rdbn bndrg rt ay nn 'h tEfo,ffi tl llr wl ftn *hth ihn Fnt ir
<br />ir$.d ls< .1097, Cit C)
<br />AIII.I()INIDECIJAAION
<br />I halbt .trm u't tr Fely of F rury oE of it nnb*in! &{h6lbn{
<br />Dcmlition P.rmilr'A Eslos NolifEllnn turel Rcsuhl ionr lTnt {0. Pd6)
<br />-R.auiEd
<br />L.rld otlhnhlim
<br />_l(nilyrhll ihc lnlqul .cluL,rinu Bsudiry r\tt(.\ rcnDvllr. tror lprli.JhL ro rhn,n,l.cr
<br />LI .diiy rhr, I llE @d lhn .prli{nn .d n.l. Ind ft .rnr inn rilt-n k d,ncr I r8N ro 6q y idh rll Cny rd (i!!.ry
<br />nnnnk.\3ndSrrrclis\rlirntt,huill'ng.on(rurrkr.urlh.rchtauihnirdrcprr{nrarir$ fih,lC y lnd (i,otrr, k) ..t.r uFln rh.
<br />rh)vc nrtrruNl pn,Eny tu in\N
<br />Applicrnl or .tAmr sigBluR
<br />\)u'l
<br />\t-t[z\{tl
<br />ID/SIG.
<br />Pole Bases
<br />I
<br />I
|