ELECTRICAL.INSPECTOR FECORD
<br />APPROVALS IDiSIG.OWNER AUTI,DER DEI,CARATION
<br />I trrlt, rrlirm rftlc. pcnrlly 1,r pcrlrr, rhll I m crcmnr fmn lh. Codri.roN t-kens lls for rhc fouowin3 Enrn lsd TolltJ
<br />au(n.\r rnl Pn,frlmn (iir) Any (-irt or Counry whtn r.rluirN r lrrDt b 6nntu.!. rlr-. impbv., d.mlirh'or EJlt my
<br />rlru.ru., Fu t' ft nrum., rlrr .cqlnr rh. {,rlranr ror ru.h Fmi ro nb ! .'8ftd ndcm rh, lr or rlE n li..ncd llNlnl
<br />t, rh. pn ttl,nr of ttr Contur, r l,i..nEd lj! (ClEIro 9. C.nwxins *irh S.crion 7OO0 d Divi.iri .l or rlI Bu!.cs r l
<br />Pmfc\rifi C(xl.) or th.rlEtr rlt F.r.qir rhcrfionid th. h6in fo. rlr rlLBcd.r.rprb. AnyviolirhnofS€.lirtr7trll5hy..y
<br />lmlkrnr fttr ! p.rnir ruhF( rlx .pnlE!trI lo r .ivil Fuh y or ml mE rnrn fiv. hund,.d doll$ I t50)r
<br />-1.
<br />owEr ollE IFFnr. o hy or9hF.e ailh vrtd E rlEn $b oqEnsri'n. will & lh. rqi !n tlt cnlrE h ml
<br />id6d.d rstr.rn f( ok ISe 70!1. B!!ir.t orl PtDtcrhBc.d.: TIE C.nr-bfr Lirtrs tr}&.rrr+plyr.mowF I
<br />It FlFny *lnllilltdrFnBrlEh.rnwhd(Bsnq hilrcll or lErslf tr ilmurt hir (,rd ou.iiloyr.
<br />I'oriLd rh{ trh itrlmwni e d - at6.l n ofiErd ror !E lr.Effi. E hlirlnBn in!.GlH n -B dhnl.E Fsoroqfitim rli ()*F Blani *ill ,rk tl.l h[!lr o, FDwts rlE lE ( {E dij r, h]ild tr itmE rtE F!Fr, n rlt F,rEof
<br />-1.
<br />.t i*E oa tlE F{rny, m.r.luriElt.o.ldn! *ni lisEd.oddc to ffiM tlE FlF (S< ,o{4. B6E3r
<br />rd Friin.C.dc T,i ('onrrioii l.ilnE L* rkB mr.mly ro u o*w ofFoFny atr t{ild! d i,IpD6 rlF.on.
<br />."d vln (dd! tu rEt FoFdr rdh . coddrn o lirn€d ttlld ro dr c.ffidt tite t rl.
<br />I .mcEmpr undd Sdkr.
<br />D.r. ()rkr
<br />rroRxrR{. coirPr\saiiai
<br />DE1JJ&u1A!
<br />I hcn+'r!fltroutukrn Mlrr"ltirru.roNof rh nnk,nmid.rhr.tirN
<br />-l
<br />h.E.,n rill mi.r.h . Cdifr.!. ofc.renr ro s.lf-l,M rr, h*6 onp.Mir a lmviLd fo. by Sclnn lrm of E
<br />L.tlr Cod.. ftr.lr Frfqrc otrtE hrt tu *nth rlE Fni i Lru.d
<br />I hi\T rnd $' ll nu 'nr!'n $od.r! .on{r.1zr i)n in\umft.c- .! rrtutr.d br Sar hr .l'7(x) ol rh. blitr C,xlc. tu r lr F(nmm. ol
<br />rh. hrk fi, qhEhrh!tfm[,t n{hl Mrw\d!r.qr.-, '[ta,f+r] ( a:t,w l],^
<br />P,nryNunhd . c,t 6tr{xrr 43{[. \)
<br />3uhtuc cdi, rrn polty nun$.r E
<br />)--,.r 3 \ )'-
<br />-l.fiityrhll
<br />ir rh ndli' rrRr.lrh.*rrknishrhrhFrrrmiri1t\!.d.1shallnolcflrployrnypcroninlnyfrn,E,
<br />q, trrh' h.(o E \uhl.d n,rh.s k.r\ onfcnnir)n l&\olCulilomi!. and l3Nrhar if I \lnuld krom \ubFtr t,rh.
<br />w *.ii &nlrnnnhn lr 'vi{un! ot scrrii,n .lTlx) of rh. l ih, o)dc. l \h!1,. f(,rh*irh L$mply wirh rhre rmvnmns
<br />0vil lin.\ uf L, onr htrklnll rhou\rtrd ,lollrtr\ (lll
<br />Srar( 107()oi rlr l rhtr(irl.,i'n.'.{xtr,lxn.r'ry
<br />o",.,. I IZ lO.,
<br />^pr,u!nr,
<br />n,n, drtrutcr r\ pr)vnlcd tur rht
<br />DECIIAA.IION
<br />I tEEhy .lt m !nd.r Fnllry o, F.ju,, rh,l I !m lieEcn und.r Fnvirhn of (-h!prcr 9 (ommmins wilh S.clirn 7m)) nr Diviri,n l
<br />o, llE Bulircs ..d PmL$i.n! Cod., nl ny li..* r h tull roR! .,i clYet
<br />.fb
<br />\.\e. ra'
<br />I Eb4q L{ z\
<br />wr2-
<br />gAAEIATqIIi}U.!EIAE.6GEAqI
<br />I h.E-t,y rrrn lirLr Fuhy o, Fr$y rh,r rhd! i.. (trEru.rior Lidn! qrmy fo. rlE Fflllffi ofr,r wl in rhah rhir lEnir ii
<br />i.\u.J rs.t 1r7 Ci! C I
<br />a!0.tcaxr-0EclJ8aua!
<br />, h6dtrninud.r F h y or FTJUTJ- .E ol rlr nnh*rry dc( Lr.r i'nr
<br />l).mhri,n ltIok A.h.(or fiorifrrr.n l*r.l RquLr-nr rlnb l{). Pd6)
<br />R.qurcJ l.rrcror Mi'ri,rnn
<br />I lrntfy rhd llE f6Lhl rc!!l!!r,.r E!1Ji.8.rr!{or Em*.Im frr rrrtia.bk ro ihk Imid
<br />_l .d'ly rhd I h.r Fd rhn rFdi.rbn ,n 3lll. rhor rlt .rnvc inforrari'n t cont<l. I rlr ro onpl, sirh .ll Cir y Id CoMry.d6Nr .nl srl. l,*r ELrina ro hrildi.r Nntrturnr .,n lmbt .u,n.iz EFRdrnB or rtir Cny rd C.lnry ro .nrd l|rr rlE
<br />llnrc mnr.rrl pntFny ror fi,Eli)n pulr
<br />ADDri.rnl o.,txdl sl*nrlrft ta
<br />r,...rr*n,-. rpA"|, I r2ffii -,. r 1 17_.\-kr
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Li ght Standards
<br />Spas, Pool, Founlains
<br />SiOns (monument)
<br />Lile Safety /Low Voltaqe
<br />iire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torquerng
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equi pment
<br />Facto Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Rough I lK 5\r*-zn+4
<br />Service Meter --r--
<br />FINAL
<br />Notes Remarks, Etc.
<br />DATE COMMENTS
<br />Under Slab / Floor
<br />Meter Belease
|