ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUIT,DER DEL(ARATION
<br />I hd.!t tmm uo(b Fdry ol pqiurl rhd I 6 d6E n s rh. Coffi6 LiEE r,w for rh. aolovios rc.a(Sd 70ll 5
<br />Build ad Profc$bo Cod.). A.y Cily or Cou , whth 'qrrd . paEn lo @r(rud, .Xs, ,tr[mte damlifi o qG tll
<br />ntuduc Fi,r to il! isula. .Lo r.quiE llE @ltot for sch Fin lo fl! r.isn d iiarEn U[l lE or rlE a lics!.d pu$r
<br />lo llE FDvisb6 of E Cddd'r LiEr.d tr* Ichq(n 9, CoMi,s *nt S61b. TOOO of Divni,n I of llE BBin6 oJ
<br />Pmt*ior Cod.) or ttd h. ( dE i! dmB llE6on Dd llE hsn for rlE .IGB.d qorFbi Aly vbldio! of S6rb. 701L ty tuy
<br />ppli@l for . Fnn obici. th. .rDli.d ro . .i!il F ty of 6r mE rhD 6r. hundrld &llE (t5@)
<br />l.6oqGotrlEFoFry.dmyddq6$nfi*.e66t,E bl onpqdirn. *i[do dEeqt ad dEnrltle. Dr
<br />i,rdrt d o.olF6.d for xL (sc,7044, Bui6 bd Phf*iE Codc Th.Codrtctoir Uc@ t w.16nd+plytouomsof
<br />tlE FoFi, *{n hrill d r!110\6 dEEr rl *lb &s sh wt Ll@llor td*la.r 0rDrgn hit 6 ha 06 orployq
<br />FoliLd thd rurh inF.€lrfu &@l iito'd.d orotu tu EL.I[ how, rlE hrildi,g or inpr.Eclr h$6v in@]E
<br />of sqkir4 dE o*G BuiLlryi! hm UE hrlq' of Forils rL lE d !E dn d boild r ip.nr d! FrrBr.._ lnr lt! Frpr of
<br />l, 6 ow otrlr FDFry, m achlnrly conrxrbs eth lic.rsd coi!t&r6 to ordtu<ltlE F.jdt (S* 704{, IillB.d Pmtsin Co&: Tnc Coinrroir Lic@ lr* d6 mr .pply ro s om6 oI FoFrt sno blild. or impro!6 ilE@tr
<br />ed who olfr.r] ld *t F!i.<t rih. C.i6.r.(!) l.d!.d Fe{d to ln. Conrtq r Lile !rw)
<br />I D c\nF urxla Sdnn
<br />I o.,.| - uQaf,.ErtsaMtEBsArq!I DECT.6aAIIO!
<br />I hd!b, .llm un.ld Fflhy of Frurt oc ol dk lollor !ts dalearB.
<br />I lIE nd *ill @!n.n. C.n'fid. of Cffi lo S.lt-lEm tc *st6 orpaEibr ! FDtiLd 6r by scr6n 17m of d.t bor Cod.. fo. dE pqfolrfu oflhc wo for whi.n rh. Fnil i! i!u.d.
<br />_ I h!v. r.d will mri ,in wort6 comt carion ill.fu.. a cquiEd b, Sction 3?00 of th. Lrbor Co&. lor tL F
<br />dE wt rq *nih thir Fnj ir ilxd My \!dta @6rpaBd.. uffi ..fu .t po!.y ndba d.cm Ha"/1a/ 6>*,14.-Eo,qro C-,,-,@6 .,"-j-/'/{
<br />I cdirylnd in tlE FfotrM. of llE wort for whirh lhlr Fnn ir isu.4 1.1'!ll mr dploy ey F$, in o, @M$ a lo hoom ebd to rlE mrtd'@mFErE. L*! otc.litom'r .d er thi it I JDul] baom $bd lo tlE
<br />$$rt6' comFulion FovnioE ofse! ion 1700 of $. Lrb.r Co<L. I s$!ll fonhvnh comply with thoE pmvtioN..
<br />WARNING: lliluE r. su. work6' co,np.n$lhn mv6a{. it u l"sful. ed .hall rubjdr m 6plo}r ro omiml Fu!€ ud
<br />crrl 6n6 up !o om hu.d.d 'hoEnd 6lLB (tlor.000l u idf b E .oi or orydDr dm.a6 ! Fv'd.d tor tk
<br />,*4salion 1016 ofrh.Ijt . c.d., inrad,n.l ar
<br />?ts iv
<br />r.ro isrtfor iirr iorlrr(l-\L\r(,\
<br />I tatsy.fim undq p@!y ol Firy rta I e li@!.d uda Fovibi of Cn E 9 (mMing qnt Sdlior 7000)oaDilnbo I
<br />of rh. B€itB &d Pbf6ir6 Cod., .rd Ey ltd i n tu,| for rn.fiad.
<br />a.*a*'- F
<br />D.. ?-D-/7
<br />Ldo?G9
<br />I hdrby .tftn u,& !a.!y orFjr'ry th. U* b . c.i*!(rih LrditB racy t UE FfqM. of rh. F tu *ni.[ thi Fni iis.d (sc. 10e7. Civ c.).
<br />AtIUCAtrLDESISATAd
<br />I h.tt'y atrun lnda po.lty of Fj!ry oE of $. rollowins <k hr.l io6:
<br />D.mhiln PoTne^rtdc Norifraiotr Fiia.l R.suldbN {TilG,i0, Ps!6)
<br />_ R.quirEd LdldofNdifi.ri.o
<br />_l .ci& Or th. f.&tl rE8ulllbB ,rg.diq .!.ac lqbr.l e bl @l.rtr. lo fi! FJ{(.
<br />f/, .-'rr,a , *.,o0,* @l.r.n -rl r& rht uE.t!E irft'ldion i!.mEr r .*E ro onpry wnh.Ir cir.,n courny
<br />fl.tm !d $r. t q II,B ro hlildq oturF( -d h6!sy dlDda EFBdrn€.rrhir ciry.!d colnylo.dd t+on fi.
<br />n**-, - ^-, rn-*^- -fu-- ^* t!-2't7
<br />pd,rEn.r.,p,,tr,): lf f5P;W
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />as, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Facto ry Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough 6n /n .r. Dt f2t-6u ts'l
<br />Service Meter
<br />FINAL /42{/,7 t, Der int R
<br />Notes Remarks, Etc.
<br />Site-Work I
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<br />Bonding / Groundino / UFER I I
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