ELECTRICAL.INSPECTOR RECOBD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Trans{ormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh
<br />Service Meter
<br />FINAL t4,'1rvbl/hf I n
<br />Notes, Remarks, Etc -I
<br />I
<br />(}WNER AUII,DER DELCARATION
<br />I lEEby rmrn unLr FDxy of FrJUry lhrl I m.knpr lioo rlr Codrdr{ Licns tI* for llE follo*iq Ersn (Sd ?t,ll.5
<br />Buiirctr .'J PmLshn Co&) Ary Cny or CN y *h.h Erlu,Er r pcni ro odB1. tlq. intnrt, &mlirh m qri e,
<br />rhErE. Fitr lo n! i$u.e- lle rcqun* rlE q,plt.d tE such Fdr ro 6k r qEd (rr.m.r rh.r lt or ni i! l6n*d loNiln
<br />li' llE rn)!hio,! ofllE Contn.tols LicnBd Lrw (Ch.rr.r 9. c{,nrtrmins *ith S.clioo 1xr0 of Divnhn I oa rh. Brsinc* lnd
<br />Prrcsionr Cd.) or rh.r lr 6 rlE i q.trpr r&Efion rn rl. tcrh for rh..lL8.n c&n{'ri'n Aryvi,liionotSalrrT0ll5hyrny
<br />lr.ilEnr lo,.lm {hFB rh. +nl*rn!t!r.*rlFrlr,olr mn rhd I'E hundEd rt llfr(lqtlr
<br />!,!1 ^ ,**, r,u **nr. o, fly.nFh}r! qirh e !s.! ei rh.n s'k on{rn$rDn. *irld. rh. pdr .d E{dGirml
<br />in rrtd or .fi.ftr1 tr, .L (S{ 7014. BsliE* ..d Prr,r.r.i,n CuL Th. C. tuldt Li!.€ f.w dEt dn rldy ln e orF of
<br />rlF F$rFly *iI hildr or trrF B rlEEa rrl *lb d(B nr-ll knt hrmclr o. t-€lf or rlholh hir d ls o*r ..mhF--
<br />lmvikn rhrl .uch ingmEEd! e ml n'cd.i or ofi.Bl for Elc. ll lFM. llE hildur3 or lrtmwm n s! wihin ot Fr
<br />ofNrfLri'tr rh. OwEr Builh *ill hlh dr hltj.n o, pn*i.B rh.r lr d sh. dil mt hriU o. inlxoE 0r ntuIEty fd a [r4rrol
<br />Lr\N r of rhc lilff,iy, !n cr.lxsihly r.fta.r ih8 rnh lk.naal .onrrdoF k' $nifl.! rh. tnrF-r (Sr. ?(}4-l. llunm*
<br />!d }h)rL\\in Cod( lh.Conh(r,, { Lic.nc l,u d,$ frn rtplyll un oan.r ot potcrly sho hild\or imp(,!.rih.ron,
<br />dd $lr' rrrh-k t,r \kh Frr1lr sirh . (i,dkk,ll r I lrcn{d | 6hr t,rlr(idturd'( Li..n< l^)
<br />I dncrc lI uidfl S..rii,n 1yL.41Z:8 "'y
<br />TII].AEAIITN
<br />I hceh, rfllrn utul.r ,.rohy or Frjuy om ol'ttr r'olhwnr8 d..ur i'n\
<br />-l
<br />h.r .,n uill did.ia . Ccnirr.[ ofcotr'n b Sclr lBe aq *it6 on?.Miin. .r Flvi.n ror by SErir. 37m oa llE
<br />lrhd Cod., tn llE Frloffi ol llE n t fn whth llt p6nn i hsEd.
<br />I ha\r rnl $ill minrrin *orldi cortEnurmn insur.(r, at rqui.d h, S(r r,. llm or rh. bhr (.(t., for llE FrfomLa ol
<br />rlE rrrk for whih rhN pimd ar i$El. My *ort6 orirtrdan i.rurlm.ds.rd F,la, numtE e
<br />Polty Nun$d.-ErpiEr:
<br />-
<br />,4'! *nnrr*,,"ru *u,,nuc or'h€ *nrL ro, $hkh rhn pcroir ai i.r,.d. I in|u oor.npr,y !n, F6o. in $y Mnmr_-_ s r. Eom ohFr ro dE k t6 oi{rndbn Lsr dtciilmia !d .!r d if| rlDlu 6..m obFl lorlt
<br />mrt6 onFc.lb. F.vi.m of Sdb.ltm of E Lrhr C.d..I nrt ldhqhotrply rnhfi.: lmnsbd
<br />WARNINC t.ilurc k, tM srrLE' conf.nubr d'EnB. ir unlo*tu1. n, rhrll ehFt d cqrk,)tr ro dimirl F tB .d
<br />.nil fi81 ut' ro om h!.nt.tl rhouBnd dolL"t (sll[.{nor. in .ddni.r ro rlE co.l of mhFndio{ d.nr$! .t Fota.n tu
<br />'lE
<br />'t:
<br />- ;i--EJ;* ^^#,"' h^,*o.;-l/, LttrilsED cot{tilcron
<br />DpqdSArllx
<br />I n Ehy !finn !ftls FnlkyolFrlury thar I !m liened unds pmvirion otCh.fld I (6nmRi.8 vnh Selirn r{xl)) of Divirhtr:l
<br />.r tlE Buiias r,'d Pruf$ion. Cod.. r,n my la.M n in tull foE!.,n dfcr
<br />( oNsTaucTr(lN r r:rtnl\c ActJlllrv
<br />I lrEt y rtlim undn FElryol FrrrD rh, ltE. i\. o,n(urbn Ld03 l3.Et nn rhc Frfollift. of rh. rort fnr *hrh rht Fn- t
<br />$u:d I SE.- 1117, C,r C r.
<br />aftltraStD[ct A8aIlllN
<br />I nEd'y !trm o'd.r Foh, o, Frrlry oft ot rtE toll(*int &{Lar hnr
<br />l).mlni)n P.rnnl^tlEr$ f&'lifr.lbn &r.l RcruLl irnr lTnb &, Pan6)
<br />-R.qun.d
<br />t lt.rol NorifEditrr
<br />-l
<br />cd irt rh.r rlE fRLr.l EllLrom Elan'tr! roc{or Emrl N mr +!|..t'l. ro fin lo,.rr
<br />ZJ./..n ir, rhd I hln (d that rprlrrrt'n rn nrtc rhlt (r d.v. intrmrk , i{ $rer. I r8r ro onply p irh all cirr rnd counry'od$rt .rl Surc L,*! Elr.s ro h'ldi.! @.tu iotr .n hdcb, ,rlbis crr..diEi 6t lht Chy .,n C.6ly lo crra ufon tlr
<br />rlnk l|dbEd nmdv fr inNi,n ffii,,.".".-;*.;"?dD;;- f fr" 442 /y
<br />G-,-*,*,,,, / etts cr'o',t /
<br />triils
|