ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNAR AUILDI.:R DEI,CANATIOl\r
<br />I h.Eb, rifm un& FEb or Frry $r I s ..!vl 6Do rll Cbdfur6 lilc u* ior tlr lollowid Een ls(.701lt
<br />Buins rrrl P.olNirn Cni.) Any Ciry or Cdnry *fith rguin r F r. .odtul rlrd. iqr.E d.ml.i n rFr uy
<br />'l]lfu.Fitrori ffi?. &. Equr rlE {"ltDt lqdFn. ro 6lr ri Enirad $r rror rh. i! lita$d puod
<br />r. th. p6viri'm or ft. conu*l(t l.ic.nEd lr* {ch.F.r !, cnmftEiry wirh Scclih lffI) of Divirni I oI th aciE! .id
<br />Prof6lhB Co&) 6 rhr L d !& ir .EtrIr Urd!6!m .!d tt h.'ir r.r 0E .ltstd .E+iI,L A!, B,Lrior ol S€ur 7011 5 by -y.pplidt ror ! Fmit'ubFt. tlr oD/rconl lo !ovilp.dlly6ri.l tuc UEn fiy. hundfd dolla (t5q,)
<br />_1. a .*Er ofrh. pmFny, d hy.qrt !r.i eith *la6., rh.k mk fr n ..dirtr, sll dr (! xti !d d. t|r'rrc ! d
<br />!r.rL'l roiLGl t( ql (Sa'rUr,r. Boiirn all PDaBbE CcLr Th. Cor..rai Lt.c t * d*r mr rppl, rd d o*Er ol
<br />th. Ftdy wh, to isor ottuB rtBd{\ !d wl, Jd rdr urt tu'Mlt a lr.rlt or rleuh h6 c h.r.r. dpl,Fl
<br />Firihd riI 'ch lignEcd! e Br idai.d .nH Ill.i.. ll trww. & hoildq ( i4rsEftrr n 5! *ihinor F4dlcdrpld,!lrEO*ErBut]arinlu€tlEh,nJ.nolFlrrta.h.slEdi,dhi!durvoctb.FtFt,ftrrlEFrFEol
<br />_I. b ower of rhr |,rpdly. rh.rcluiiv.l/(u ktins rnh lt.tr*l !on*t,u ro lo.itud rh. p.!j.cr (5< ?0,r4, Bulrs
<br />.trl Pt,kir C.rl. Tlx (ldErtr ! L..rq L.l drB d .!plr ro & owB oaproFnt vl$ l'{ildt or rn|rbv.r rlEF,tr
<br />.nd who c{nlJ!$ n{ !u.h lnrl{! wnh r Co'ftbnr) lt.n*J pursd ro rrE cotuor'r Li@ I:*)
<br />-l
<br />mr.r.qn und.rS(drt-8. A P.C forfiL Bsn.
<br />]raBf,lLu(alfn$iallo!
<br />DECLANAfIOI
<br />I lErchy rlr irD u.d., p.'drv oI r^*rjury !m rl rh. knhxni dtlrari,nj
<br />_lh.v.lrlwilln nr r C.dIl.!r. of C',Mnr k' S.lr-InsuE for *fi(a @q6!on, a |Iovd.J tor b' SdDn l70O ol rlr
<br />sdrr 1700 oI rtr lrttr Qt]., tor tlx rrtrmEr. of
<br />ffir rn F)ll(Y mmb. ft:(m.
<br />+2 o3\i l' f,D]{
<br />I .dlfy lha r tlE lElldrrr. o( th po.r n. un-h th! Isnir r' 6ud. I rh.! d .trPby My Frs. D 6y tME!
<br />nBt bcsrE bJccr ro lh. m qlohp.nsrion h*r of CrLr.nit, .rld nr rhd rf I nhuE b..nr snnq h E
<br />*!d6 @trp.NrE prursls oasdn.l70o oarrE Lt . CroL.I ftlL fdheib orply *dh Dt povsbB.
<br />WATNING: FihrE ro Ec@ .rI.6' sn .dbn .o6a. B unLrall. rn 'h.ll rbJd r qlpk Fr ro dihi.d |iElis 8d
<br />cNil liE\ trf b.tr. hun'lral rh.nu drlli( (iloo.uJo)unIrMrio.. ddl8.! n FDql.d for ilr
<br />,..tfi.cE ro
<br />llEcLdlallotr
<br />I tEE5y.lImunLrF lty ol p.rpry rhc I m LlEl rEd.r FDBpn of Ct ra I t.ffilB Y.t Sds,m) of DnrD! l
<br />of E AullB.d PDLsioo Cod.. rn my lt.E 6 rull toN.rrd.rd
<br />Cto qED
<br />oq.68.rra p-,,-..
<br />g9IEISUSIIQELSUUA-AGEUCT
<br />I h.Eby .fft6 urL. FMky.r p.rpry rh{ lhd. i! . codMrirn bndinB.t.Ey n" Lh. ,trtffi. of ih. *dt kll tthrhnp.m. i
<br />isuqi (s€. l{r97. civ. c.).
<br />AIS/ICANLPECLASAIIO!
<br />I h.nrylllmodl( Fn y orFiu,t oE of iL lolt *r! &tlfnrBl
<br />D.nllirhn Pdnlisarh.rror Ndfk{.r }-.d.trl Rc8llda (Tiik ,lJ, Pd6)
<br />-R.{uiEd
<br />tx(.r oI f1d'IKdi{
<br />_l cdily (hlr (tE Ldd.l r.3lhhrtu r.Butin8 $bc(o. rcmn.l s. d .ptlr.bL b rhn nroF
<br />_l c.nily rhd I luvc ,crd fitr rlr'l{rr rn fll nrrc rld rh. rhnCntuturon ( .(lld I .&E t' a,nllly *in rll
<br />,DB')ort
<br />.dtrtrcrrliSrrkll*r h.rby rurtttri- rcrr.sddir.r .f
<br />Cq
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor "LL At d
<br />Bonding / Grounding / UFER ,ft a/0 (t{,il/ra 'req)
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Sollit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />ltrleter Release
<br />Rough ^ L.t AI
<br />Service IVleter tl H/0d/)llh/l vuQ(
<br />FINAL Muwttt
<br />Notes, Remarks, Etc
<br />Bev.08-07 2015
<br />Cod., td dE Fl(Iu. oa 'tr *ql Ii{ rlf,n ttl F i Lud.
<br />lLk i $,llnudr wo,I.r'
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