|
ELECTBICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS ottNt:R a!lt_Dt:R Dtt_cARATloN
<br />I hcrchy aafi,m unJ.r pcndlry ('r !.rr!ry rtlr I m.rcqi tn, ih. Cotrrr!.xtri l,iItr€ tj* 4,, rh. n'lt,win! r.dq,.1s.c.70.11I
<br />ausnc$ rnl Profcr\i( Qric) Ary Ciry or O,unry *hih rdtutr.r i txhhd k) ()ninrd, rnr, nnpnivc, d.nFlirt or EI'at any
<br />{Mruc. nri,!r ir\ i\\urrc.. o r.quircs rrE q'r'lNrd ntr \Nh rxrnirx) nk!.irnn d.r.mni lhrr lEorrrE k l:c.nkrl puNad
<br />l{, lhc rmvishnr of l,E (i,nl.lulrtr ! l.icctr*t lr* l(rnprcr e, (irnrENrnr } i S.clir 7(rxr ol Divni{,n I ot rh. Bu\ims lnd
<br />Pn'tui\klnr (ndc ) or rhar h. r \hc ir .r.hnr r h.diom d rlx tlrn lnr rh. rlkgld .r.n{ ion Any eioldirnotS.diln T0ll5 hyrn,
<br />.mli..nr rttr u tuni \uhl<a1q rh. it rrlic.trr k, r crril pctulry of n, nrrc rhm li\ c hln,Ed il.llai ( lJ(Xll
<br />l-rro*Fo,rh.pmFn!.orDt.r{,L,Fswirh*!E$rrrltnsLmi{:nsrb..willd.rh.w,l.drltdndwinn
<br />inEid.d or ofi.rn fd sL r S( 70l.l. BuriEs rnl [h,r.$hni Crxk Tt (.ndd.ir lirnc lrw &B mt q'f ly t' e owE .l
<br />ih. fmFn, *h) laiHi r intrr6 rlEmn, 'd wtn &B uh u't hin{lf or ht*lf or rhtuulh ht d h.r oen aqll,y6.
<br />Irnvn.d rh,' sh inqmrtc.he nn hkrbd u ortcr.n ror qb ltbEw. . l!itl!!3 ( inrFtfr ns!{irhinimrr
<br />ofsiphin rh.OsEr Bu'tlr f,illhlE rh trnLonlFrut rhd lE d {x dil n, t HorirqmErh.FI6yfdllrJlqsrof
<br />-1.
<br />ts otrEr of tlr lFFny, u.kluriEly odMi.8 *nh lirncrJ.odalm h.\rnrBl lll ImF ISG ,oa.a. B81ls
<br />rd Ar,ftsdn Cod. Tt Co rrttr ! Ltcn{ t,* &rr mr rrnlyrouorFof Fottny who h{iH!or rnpbwi rh.m..
<br />otd $lb odrrlr (n.B_t lreF1r $irh. (tdL1.nit h.n.n llrutr lorlEc.rnr:i.i! lirtr< Lar
<br />I r .r. ltlr 0ftlrr Sairr'.
<br />D.,, t2- ltt-l? (,s*r
<br />l,l ( I \l{ ul\
<br />I h...ty .firm u.ds ,rMh y of F,lr! or nl rh. ()lhu,n8 d.{Lhrsh
<br />-l
<br />h.E !n wilr mjnl.h. Cdifr.'. olc(r4rd h s.lr.lnor ftr k,rr6' onFndan. 8 tftvii.n tu by S<rhn lr(I) olrll
<br />ribd Ct'd , rd tlE Ff.)im 6r tlr s,l rd *liah rlE Fni! 6 i{an
<br />_l h.t &d sill dinr.in Mrl6 drntEB.rion inMm. rr Egui.rd tty Ssri,n.r7m.l rh. Lnn Cod.. lo, rlt tEflmN of
<br />IlF * rdr *hih rhn Fnl n ird M, *ml6 d,nFnqrior i6unN cdir !d Fliy tudha re
<br />-l.cnify
<br />lh.r in rh. F tumN. of rlE rorl ir uhf,h thn p.rmn n nrkd. I rlull n{ cillhy.ny F$. in.r, ,urcr
<br />b tr h h.<rft ut'F h ilx ssk(i .nn{Enslion L*s ol (tlilomi!- r,n .!r lt , if I rtFuld lEoc auhFr kr ilr
<br />k)rtoa on{.rer b. I,orilbnr of Sdion ]?m or rh. lrln Gd.. I {Ell, t nh*dn drq)ly with rtn. tmvirn.c
<br />waRNIN(; l:rilur t) wur *orl.r1 .o D.na L,, (o\.rr3. '\ trnL'*lul. rnl !h!ll a'hF1 xn.mpk)Fr kr.rminil lttuhr\ Md
<br />ciril finc\ ry n) om hunncd rlr,u\lnl,loll \ rll(ir.(xr)r. 'n el(lii,itr r, rlI mn ol.onIf,nsartr,n. d,ro!.\ r\ tr'!xi.d ntr rht
<br />S..n,,n l0r6 Dl rhc lj i, (ixl.. inr.(( rxl n[,N! r lr.\
<br />,'",., l)-^l11* l7
<br />tl[llaSallrr!
<br />I hcEby lffirm undcr Fnollyotpcriury lh{l I !m lilrnrn undd F1rriirn ofChdpl( 9 (d,mmncinr *irh Sdirn Tlxx)roaDili\ion.r
<br />ol lh. Bucimsr rnd PmL$irnq C(d.. ml nrv li.n{ N in tulltnr lrl.lLl
<br />grulrBt&rla!.t[!!.1!ri-ati[!r.t
<br />I h.rby rlirni und.r l{ slry of l.rjory rh{r rhcc n r con{fl(i'n Lndinl {3ci.y n* thr FrfnrtuR{ or rh. s{k tu f,hi.h lht Fnnn n
<br />ksucd rscc lll)7. Civ ( )
<br />attlt!:6!Ll,u,gt aaartB
<br />I hdrty lnim und.r Fnlxy oaFrru,y uE ol rh. ft,lrrclnB dahdi(!nr
<br />D.mlnirn P.rnir\ Arh.\rtr Nnriliuri,n F.ikrnl R.guLrkr\ llnk 4r)_ l,rn6)
<br />R.quned lJ(.r.1 f*i iltrr
<br />I c.nf, rhd rlE lcd.d rqlLri,nr rcrlrrlira .\tt\(n Emlil .rc rn .I'l)lr.nk h rh! pm,.tl
<br />_l c.nify rh.l I laE E d rhir al,Flarrbn ]n {!rc rhrr rh. lh,v. mro,mlrr i{.(mr I +R ro N,tt y rnh rll Cir y rd Cou t
<br />ordiuB--d ud Sr.l.l,$ EL!!l8 k, hoitlin! con{drn. rd lE.hytdhtrir eF!€ddrB.f lh8 Cnynn Cou ylomldutrnrh
<br />rhrr rnri,*i rtr.Fny ftn inlFsir. rrrF
<br />.\pllionr or Aror Silrmrun K 'k
<br />+L-t+:1+
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Grounding / UFEFF _.\
<br />TransIormers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rough)I
<br />lvleter Release !E
<br />Rough ll
<br />Service Meter t rBr.,/.n
<br />FINAL 7//a,4,,
<br />Notes , Remarks, Elc -' -?-
<br />I
<br />l{ -*'+r.
|