|
IDiSIG.
<br />ELECTRICAL-INSPECTOR RECORD
<br />COMME TSDATE
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lite Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER //-? -/t ?zz-')
<br />Transformers
<br />Torquerng
<br />Sub-Panels
<br />Air Condilioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Bouqh)
<br />Ceilings (Hard & Soff it Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service lvleter //Q ta 4)
<br />FINAL r - / lo V1r,tr,'a2 ilt T
<br />Notes, Remarks, Etc a
<br />OWNER BUILDEN DELCARATION
<br />I lEEby rrnf, und., Fulv ., F ru, rhi I m .rq,r fi!6 ilr Conrdm l.i(e L.$ for 1,. lolbwil! d$n (Sc r0.] l t
<br />BuriEn !d Pr,r.ii Codc): Any Chy or Coiry *hth ftqlir6 r tmrr x' onrtu, .hd. jrifr\q &mlkh o, Rts ,
<br />trtucrw. Finro ils ir$rft.. rl$ EauiErrhc appla.lll fn {u(hlEmir h likr ri8md (rrcNnr rh.t h.or shc t lietrrd p{rMr
<br />h rlE Frirs6 ol E C.ntrrofr Lk..Ed tr* lc,ifld L Comtui.! warh s..rb. 7uI) ol DtKbn ] of r Burm.i rnd
<br />Pnf€sitns C.d.) or rh.t lE m {E t.k,lpr rhcEftln.d rrE hrir r.r rtr .lL8!d .rdpli!. AnyrsLrsnofSd,n?011.,by..,
<br />apllic. ntr ! rcmil {hjali llE llrlicrnr ro . dvil p..ally or ml n$E lhln fiv. hundrcd dolh^ (tJu,)
<br />-1.
<br />I osE of rrE FlFny, G r, .rqfiFs Enh *.!d ar rrEir rk o.{rNrhn, xill 6 rrr xrt !i trE r,fu . d
<br />itrl..d.d or of.Ed ,o qL {S( 1144, BuriE$ .nd Pnf6\iw C.nr: Th. Lbr rrld ! l.hnr l,r &B fl'l qply ro d owF of
<br />trE IrrllEny rbt illr ff irqn,wr tlE6n. rrld wth dB Mh u'* himll or hcrsllor rhmu3h ti! lE.wncnll,hyer.
<br />pmriLrl rlll 38fi iqmwnr E r, irdild d otu f6 rb l( hrrr, rlE tlild4 {r nlrlrEE,r n ild wtfih E F.ofonphii( rlr o\rE Bu ,6 *ill lrE E hnkn nrF)vitle rt{ rrdirE di, d tri! d i,qmE dr FDtFy ftr l|l F,Fi of
<br />_1. 8 owN orr|E FIdy. acrcluiiEl, odBlb! enh liu€d o rdoErn mnrrh1 rlE Ftrirr (56 704{. AuGs
<br />ltn h)ft\ri, C6d.: Thc G,nrr*roar l.k.n* L.B dGs n, +tly ro u0*6 of Fottny wlh trildror opF(r thffi..
<br />.nd qh(' (lll|el. tu such Foj.rr3 virh. G,ntr.chns) Lrn*d puAUUr ro rlE Conrrurtri li..trc liw)
<br />-l
<br />mcru't'nr unlLr i\rr{'- qlzzl't
<br />!]I!IJtsIIIA)
<br />I hrrchyulltrorndrr lt nlrj_Dr ttrurtij'rol rlf, l(ilk,$i"! d(lnrrrtr,ns
<br />-l
<br />lEt. ol rill mint.i.. Cdfrdc otcond ro S.ll ltri!6 Id krl6 6niEdir.. f Fovd.n ft, b, Sdbn ]mr orrh
<br />Ijbd Cn, rorih. Ff6.rrN of rL hri ft* *ntn rlE Ffrn i n{d
<br />_l h3E rd lill mi rin mrt.R otrF.dbn in.unr.. I rquiEn b, Salir ]7m ol 'lr Ubor (1rj.. for 'h Frfm or
<br />llE wk fr *hth
<br />'hir Fmi' i! ir$d. M, wrt6 mntrnrri[ GrBr @E ad loliy mmh.r m
<br />-l
<br />c.nily rh.t in rlE FrlormK of llE *ork rm *hrfi lhn rsan n is\u.al. I rbll mi .rml,y rny rEmi in rny nuE
<br />:r s ro lEsm ruttL{r ro rtE *r,16'dnFn{r,. Ls orc.lirmi.. .,rl {r rh, if t nm! tEem .uhj.cr h rlr
<br />srrt6 NmF.qrfun lmlirions ol sarin l?m.r rlE L!h, (ln , I nrll ,.mh*irh otr{ly r n rtr)e Inreti,nt.
<br />(ivn nn.\ un k, om huniEd ilx,u\lnd dolltr^ Itllxr.(xD)- r l* (^r oi .onFn\ nn, dd&Scs i! F,rilM r(r rh.
<br />s.rrn,n.rlrT6olrhc l.rhtrC{xI.. idcrcd rnJ rrorEy \ kc\
<br />,rr,: L zl zrl, t
<br />I lhrbt lmiflldLr Fmlryol Frllr! lhr I m la *l ud.r tnriii,n ol Ct t{d 9 (onmEiI8 rnh SR]r br 7(ID) of D'lnirn l
<br />ol rhc llun's\ r'rl Irnlc\\iin\ (i,&. filn,t I'r.nr $
<br />'n
<br />lullntrNJrl.llRl
<br />q0utrBugu0!.tElluxti.Acllqr
<br />I h.Eby rmrn uflr.r FMtry of F lury rhd lhm it r GidElio. hnin8 t8.Ey nr lh. Frfrrmre or rh sri lot *hih rhn Fmt i\
<br />isEJ rsd 1097. civ cr
<br />l.ndc' . N.ft
<br />-
<br />AIIIIqAILIIECIdAAIIT]!
<br />I lErtr,y .rm .n&r Frli, or Fr,lry oE ot rlr f.lb*'n8 d..lrmi,.r
<br />D.mlirion P.mirs Aib.sror fd irBdhn tu nlRcsukrion! (Tnh.lo, Pr!6)
<br />R.qu'Rd l!rcrnf Nor'ff, rir,
<br />-l
<br />c.n ify 'h{ rrE rcd.ml rcBubl ioN EB!rji.8 tE*N rcnivll rc fr{ r,tplic.bk k, lhn pmJcd
<br />s coRl I .!B ro.o!q'ly wirt tI Cn y rd A,unry
<br />EFddis or rhn Ci y .,rd Cdnr,lo.t 6 uF).0r
<br />I \cnil\ rtur I hr\r 'crirhF rtdrJri,n rnl {Jr. rtur r)r
<br />'{!ln,rftr\ nx, srft.l $\rhr'trs1.hu'LhrF., {ru,ri{ rlh'.r.)JUrh /!
<br />,.--'"::::i:/1),16*-.,,.,,,, - Slzy't 1
<br />APPROVALS
|