ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq i UFER
<br />Trans{ormers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service lVleter
<br />FINAL L/oz/zr f ^/,25 t* St+-Jta)
<br />OWNB BIJIII'SI DEI' RAT('N
<br />I hftb,.rm udd Frxr of F+r, dd I m.&!pr tonft C6rlrrt6 Llrc Lrw fo, E aolbri! tun lsa701| 5
<br />BEi63 .'n PB63sb. Cod.,: Any Cny or C]dy wnih Equna . Fri ro oLrnEl, .rd. ir+.!E d@lith q Ep.r xy
<br />ttnr@. Fi,. io I! i,.ll,G. .lro .t$ri6 rE .nrlt&r fd *h Fmi lo 6lc . ,i!rd .lrl.cnr lh.r h. d t! a lj.frn pc{d
<br />ro rlr prtvirirB of d! C.l{r*r6l Litn!.d Lrs (Ct+r.r 9. Coffirir! *nh Sdliln 7000 ol Divilbn I of rlt Baitu .!n
<br />Prcfcsion. Cod.)or th.t lE d.lt !r.rcnPl rlE&Dn.rd E boir for
<br />'lE
<br />rll.lcd.enp.ir.. tuyvi.l,rionolSdbn?011.,byoy
<br />Eltlica aor s pcm subjcct! rlE .pplicdnt ro r cilil FElrr of rcr mE rnr fi vc hudEd dolllr ($m).
<br />-1,
<br />c owEr of llE llDFny. or ny.q,loyas *in wr8!! B ltEir sL (qEns.riotr *iI.t' tlE w*.d th slidE is ml
<br />id.dldl r6rci.d rd sL (Sa.7oa4. BliB rd BolebB Codcr Ttr C.dEiols Lilnr t e dE! ibr +?ly to u o*E of
<br />rlE FtFry *lrl hilit! d fithc dEsn !d who d6 rdr qn ninElf or tEclf o. thmu3l hir q ls oh.trpbyal
<br />FlviLd dd uh itrp.DErEd! e ml iidi.d n offtr.d fd *. l( IDHG..lt biBlr d dp.!ffi i!'i!,rhilm )ror. pbrirll.OryE Blibd *i[ llw|l! hlrldr olFDtn! dr li d ti dil r.r hild d irFoE tti F!t-r, blli F rEol
<br />-1,!sowEolrlEFoFny.mcr.lu'v.lrcoddi.seirhlisrdcodrrtorloo[{BirlrrinFl156'7044.BuriIE(n t\ isi{ C6d.: Th. Conl,rlorr t,t.n.. L.* dc ml rylr l. .n owffi of prcFny *b builllr or i,rrrcEr th.r6n,d.d who coM.rs lor $ch r.Ft *irh ! Conrr&ron s) litMd r'!r.ud ro rh. Contn ror'r Lic.ns L!* ).
<br />I rn.x.mpr uda Sdrio._. B. & PC. ror rhi! r.sn
<br />tQaf,tBsSDtfEuiarrorDlrljxAra!
<br />I lrrch! r,itn u nd.r lEnalty ol frrJur' flr of rtE folloEuf lALhr.irrn\
<br />_l h.r rn pill Binrrii r Cdifd. ol CoMr ro S.ll-lM rd wtd! o,p.Mion. d FDvikd ror brs<ra'.l7(D of rlE
<br />L.6d Cdle fd lh. Ffm olrlE s.t ld rtltll rtE Ftur k iro.d.
<br />Ihrvcnid*illmn'nrrnworlryron,lf,nrar'onin\urrm..r\rcquncdhySccrn,nl?(t)olrhrlrtlln(intc,ntrrh.nrlornuBcol
<br />ihc qork n, uhichihn,f,nn r\ '$ucd M, eurksr ..nrp.tr\rr i,r Nura'ru oricr ar Jxnicy unrh(r dc
<br />Polt, N!o$a:-
<br />-l
<br />cdiry th.r in llE F forlre of rlE rod fd rhah rht Fnn ir hud.I.hU mr cf,plry..y F-" " -y *;$ a b hcor sbFr ro dE ud.t6 .lqEnr.rbn LB of Cdifofti. itn.tE rhrr if I CbUd b.@n rSFr to rrrmrt6 oqreiion pmviriG or Sdrbn 17@ of dE Ltr{ Cod.. l rhll. fdhvnh orplPirt tln. pDvibB..
<br />WARNINC F.ilurc h Ku. work s
<br />.ivil lircr up to orc hundr.n rhouynd
<br />SNrir' 1076 of rh.ltor Gdc hkrcr
<br />^,., - ttlzzlzl
<br />tr uil wlul. rnd \hnu \ubJl.r tr $, oEr L, rininal Fmhi.\ rnl
<br />ddd(i(in r' rh. ..n ol.untf,nsurn , d. trBcs rs ftuvil.n Lr rhr
<br />-M
<br />I lrrhy rrh und.. FEh, or Frr$ry rh.r I d limFd Fovrhn df Chlprd I {om68 *ah Sdi,n 7@) 6r Diurbn l
<br />or rlE BND$.rd PmldsbM Cod...td ny ltd* ir h tull foE.id.,Iat.
<br />0 (/ qfeT
<br />I hdtby .tlm u'&r F .Iy of Fir, tlIl dEr n r o.rMbn Lrdi.t .g*, fd tlE Ffdt'c or {r wt 6, rntn rhi! paDt i
<br />irrrd (se. io97. civ. c.)
<br />AIIIIIAII.IECIdSAIIIIN
<br />I ho.-lry dIm uftl€r D.nall, of Frjury om or rh. rohwir8 .LrLhrionr:
<br />t)cfr)l iin P..mnrAib.ios riorific.ri.rn Fcncnl R.slldhtrs (Titk 4,, P&!6)
<br />-
<br />Rc{uiEn L.rr6 of Noritdbn
<br />-l
<br />(qliry drr l!. fcdc..l GluLtld EslrliI! .*.nor llmv.l E
<br />'Et
<br />.p?li.$L b Ini! F!in.
<br />,l dify lld I llw E d tlln tlpli..lion ald r.G dl! 0E .b.E idonrnn i. .oft.i I .rrE l. @qly rin dl Cn, .d Cddy
<br />oniiMtuq.fii Sr1. trps Ehrm, ro h!iUi.8 h.rchy rurlln,. rcpcsd$t\llfrhtr C(y rntl Counlyh snrs uF)nrtr
<br />rh,vc rrnrnrncd pn,peny i,
<br />L,\Drlirnnl or Asrnl Si$uiu
<br />IJ_tL
<br />*,,, ttfzt lU
<br />Notes, Remarks, Etc.
<br />".^Gn(
<br />L.n&r'r Ad&Es:
<br />-
<br />I
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