|
ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Lighl Standards a
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dam pers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />To rquerng
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Roush)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Servrce Meter
<br />FINAL 7-Zf-/ 7 Jl.J*;&D
<br />Remarks, Etc
<br />\
<br />OWNER EUILDET DEI CAR TION
<br />I hs.!y.]Im uidd Frn, of pqjory
<br />'hn
<br />I @ B6F toD rlE Cortrr!6 Lrag L.r tor 0E folbtr e 16).{Sd.?o!l.t
<br />&Eijld {d Profaio. Cod.): Ary Cny or Cody whth EqliB r FEi o odM. .lq. i,p.oE doelah ( q., ry
<br />rMrue Fitr ro iu &u!F. .t ,qund d! +plttn tu ruch Fnn lo nL r r*itd 3rd6rfl lhr Ir d 3lE i li6.d pltndr
<br />to rh. FrvirioN ot dE Coltrrd! Li..i*d rrw (Cnlpid 9, ConmsirS wirh Sddo. 7000 of Divtior I of rh. Buins 6d
<br />PtDf6i.d Co&) or rhd lEq rL i dapilna.6@ ad rlE h-t for rh. dhai qdFion. Ary violdio! of S.dbn ?01I 5 by ey
<br />.ppli..d for. !66i lucr rb. +plsn ro. oril pa.ly of or ffi lhe nvc tuldld d6llr, ($m)
<br />,.'ata.J.. r rtl,r'.,r(t' ^.' 'a
<br />l. ,! oM6 of rh. FFry. or hy dtrplord *irh hg6 s th.n $E mtuFEaion. will do lh. *ut drd 0E ffl<r@ i rcr
<br />illd!&d d of6rd hr dr (Sd 7041. &aind ed PFia.i:6 Co<l.r TtE Cofi-rolt ticu tr* &6 iol +ply ro D o*M ol
<br />llE FlFry who hild n i'qnE tlEE[ rn wllo ds od! mrt hi@lf or h.Ilf or rlnuri lit - lE ou apbx-.
<br />FodLd dd Mh iDFotdtEge6t -rdrLddotuld hr 5l. lf.lr]q!€. Ehriltina d irF$@r aild *rii. c )d
<br />otcorelriol! tt o'*rc Buj]&r will h.E 0E Urt|.r otFoiis Ura lE or i,E da or hild d iqb* ln. Fofaty 6r tlE FrF! of
<br />5L).
<br />-
<br />l. B o$E ol llE FnFly, m 6cl6i!.ly codd,t8 * nh lkdad .offioB
<br />'o
<br />o.rrud tfi. Flrrl (Sa. 7O!1. &!ii6
<br />..d hDkir Co& Th. Cont .ror'! Li..@ t * d6 tur rpply ro e om6 of FoFtt *ho bdildr or inprov6 'h6an.and slF co,lElr for such F1jErswirh! (bnrndo(9 |auBurn lo lh. ( onlrtclo, ! Li.og l.trJ
<br />I 6 .ioF utdn S<rion
<br />r__
<br />0-l-tur?
<br />DrlL\k\rr(11
<br />.mm {ndd Fon, of Fjur) oc of rrE follow,g d.(lr.rFc
<br />I hrv. tld will uifl.i. ! CdafE!. of C6@ll ro Sdfn6c hr wrld @n!Ea{io( ! FoviLd lo, b, Sdion !?0o of'h.
<br />t bd (odc &rtt Ff(ffi of tlE Nt f6 vtth rlt FEn a iB.d
<br />fi h.vc .nd will m.inr.i. *ork6 comF$rrion iEur.N.. s r.!un d by sat ion lToo or rh. t bor co&. ror rhc pctolrfuc ol
<br />lh. q!,t tq which lhir Fhil a b,!d. My uort6 onFMion iBu'Mcc cei6 ai lolicy numb6 s.
<br />tt4irn)ryd
<br />'.,,\N,tr {, ?ottl?9 /o'o/ -3o/,
<br />I cd'fy ihd i. rl8 Ffolrlr.e of rlE *ort ld *hin rhu Frn ! suc( I .rdl e! arph, d) lar i. ry IUE
<br />$ B to tEom 3ut .( to th. s(it6' @dp6lrion Lvr of (ilitomn. 6d l3r lhd if I 3hu!l b..om &bjal lo llE
<br />erl6' .omF&rion povilioB ol Sclion 1700 ofth. lihr Cod., I Jrll, fonhwith Nndy *irh rhoi prc$ioB.
<br />wARNING Falw to s@ *id6 flrnp.Mion cors.*c 6 l. arl ltdl $bJa1 m @phF lo sido.l Fila &d
<br />th. con ot comr.Error d.,us6 a Fovd.d loi rh.cnil fitr6 up lo on. hundEd lltr'usd doll&r (ll00.0OO). m
<br />Sdior 11076 ot th. t.hor Code i.rF.d ad drorEy.! 16
<br />0-A-&t,
<br />t,t( lNstD(1rNILt( IttR
<br />ur(r &ula!
<br />I horby .lIm rr& Frry .l pGjury tht I u t d.d ulxla Fovi]ion of Cl|tprc 9 GoMurg vnh Scrior 70001 of DivBion l
<br />or llE It6iB ,n fhfdiJc ( o&, .n ny laaE i h tull loE !n dEd
<br />Lic6.( Ls: L
<br />-.r" OA-AC,
<br />I
<br />/ r to.t' .r* ,n L, tElro or
<br />itrrual (s6 .1097. ( !v C)
<br />rod.r'r Ndc
<br />,atlrt
<br />calslaucllolttluttlGlcllcr
<br />Fiuy thr lt@ i . oddbtr ladi'I .€B, td llE Ffdtur of . Er &i *'iih Oir Foi .
<br />AIELICAII.DESdAAIIA!
<br />I dy nIm utr& ,a[n! of Frrr oE of rlE folbwh8 &rbdbN
<br />t>mlirrn Pmhl^rbdor tr.ti6.dion F.d6.l R.guLrbd (Itlc 40. Pd6)
<br />R.qun.d kr6 oatJoti6.ai.r
<br />I carify thr llE tuai rBuLlio6 EB.dinS stBrG r.mrn &. d +plE bL lo lhi! FnFi
<br />I cor' t rhi I ruw dd rh. q?li<ir n. qrld. rhd rh. .tD'G i.lomihn b .otrd I a&c ro co6pl, *ifi rll cir .'d Co[ly
<br />nd!1.t6 .d srd. k{ Ehq lo h,rl4{rid.udrcr d hdrt, lrlnriz r<T.&rii6 or lhn chr .!d c.rory ro drd opon l)E
<br />!bor. IrErnn d '.dY f.r iMsr'6-a.^**,-n,-,."-*-,G - -", c44slLJPknhEd,.(prr.., @tt'U.l l*tqe(
<br />DATE
<br />I
<br />I
<br />I
<br />I
<br />II
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />Notes,
|