|
ELECTRICAL.INSPECTOR RECOBD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Un derground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq i Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />R ool Top Equipment
<br />Facto ry Wired Unit
<br />Walls (Conduit)A\
<br />Walls (Rouoh)+-2s4y 9.V+ro)
<br />Ceilinqs (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Belease
<br />Rough
<br />Service Meter a\
<br />FINAL \7--\1'\Y Y-\A}U
<br />Notes Remarks, Etc v
<br />OWNEN AUILDET DELCARATION
<br />I h.Ehy .rrm rnLr Foxy .r Firy rh, I n c&n+ nln rlE CodEron Li(!c lrw ror rlr rolr,*4 6in ls.r 70.!l 5
<br />AosiErr un Pn ..fttr C'qt, Any Cily or ODnry ,hkh EquiB r Fnd ro 6nnM, 6, inrmw. &mlhh or EFn uy
<br />{ru.rur., lrbr to ir irsue., als' rqltcs rh. rydi.sr {or suchlt.hirro filc. riS*d nrlcmnr rhlrlEor!h.nlnrnEd purslnr
<br />ro lh F)visbni of tlE Cdnrrrd r Lh.tn t,r (Clqrcr 9. Co|tmrinS rrh S.dbn 7mO or Oilnb..t ot rl! BuriGs.!d
<br />PDf.si'.i Cod.) o.
<br />'hr
<br />lE d shc ir .r.r+r rh.Erron rn rlE htn rr, rrE .llq.d .r.n+hn. Any rbltri,n oI sdi,n 7ol I 5 by rn)
<br />rpplicanr nn a p.nnir rubr.clr lh€ lppli(rtrl lo.civilpcnlllyofnol mErnrn fivc hu En donan ($500)
<br />_l- B owr of rlE F!I.ny. d my.rplo)Er wuh w.8.. a rlEn il.6'qrMbc will.b dE *nt.rn rE rdw . d
<br />id6n d or brcEd ftr st (Sd 704t. Burirc( ud Pmf.srhB Cod.: I1E a! ndols Li!tr Lr* &E ml q'tlt !6 s o*Er of
<br />llE li,Fny wh hlilds m iqmE tlEEtr.', rt dm Bh w* hinr.lf or lEMll o. thouBh hir or lEr own .m0hF.l
<br />prcviLrl rhr *h hFo!fttu & d i*cd.n r ollgtd 6r ql lr. btF. d. tailirt d irF,Er.lr i $U rthit d F,ofdrl'lxia tlE o*E auilds *il] t E d!. hd.n olFvrl! d. lE .r iE dil d l !d d ltprtrE dE Fo,Ely fd tll F,IDr of
<br />l. !! o*B of rlE |r$lhr. rh.r.hriv.lr.odrerinS rnh liq<n.oolrr.lm r0 onntu1 trr F)Fl (ss 7(},l:l, Bu\B.
<br />e.dht'6\sir(i.ThcCont!.rorrl-t€ns.l.wdo.s,amlyhMo*ndorlrortdyrhohu'rdro.imtn'r.slhcro,n.
<br />dnd *hr .o.tn k for ruct Foj<rr *irh ! Anrrrrcron n licnsJ pu urr rorn (tnrrffttr s LiTn* ljwl
<br />I !dcicmpr undcr S6rim-
<br />-,6
<br />&PC n,rhi(E!$n
<br />urBa[8liilrll[!:tisarll)a
<br />IIEIIATSIION
<br />I hcrchy rlllrm ui&r lf,nrlry or p.rjury oN ofrhc ralt,*ils d$luali.,,\
<br />__l h.E rn *ill rint.n. C.nifr.r. orconrd ro S.lf.lmE fr xrt6 e,FN.rirc E Flvih lG b, S.rrh J7(D olrlE
<br />Lrbor (tnc for llE Frf()ir'!re of rh. mrk aor whi.h llE Fmil ii h.ud.
<br />_l haw .td * ill Dinl.in wort6 co,tENlrm iNnr., E Glund hy S.<ri6 lrm of llr L.t'or Cod.- nn 0E Frfm ol
<br />rh. h* ni Bhth ltn I'.mr n ired M, smt6 @f,{E$.li,n inrffi ffir ud Inlt, nunts E:
<br />-t..nrfy
<br />rter rnrlxlErlormNor rworlk f,hi.hln(Ftun n rr*d. !ihdln .rpllt rny Fr$. m .., lMrr
<br />$ a\ ro lE{E rubFr l. rlr sqt6 .r'nrERrb. Lrr.rcllifomn. lln.er lhd il I .n'uB tE(oE $l'J.rl ro llE
<br />wDdc otrIEnsli'tr pmvitn'ns orScdion l?m.frhc Litry Cod., | {Ell tunhwilh.omply *ilhrh,E lrDvnn'r\
<br />coEng. ii onl,rtuL 'id lhrll r!hF1 d.fphtr. b mmiEl FEbix .tt
<br />.ivil llk\ op kr.R hun{lrcLl rhoufltrd dollaA l1 lxr). tr, r, r n) rl,.1o* ol .,nntarsrri,tr,. (hir,tc\ n\ fri,,v(tr(l ntr rha
<br />4-/L-/S Z<4
<br />In(t \R\lx)\
<br />I lEEb, rfimo l.r FrllyolF,,r,lhn I m lirnid !'nd FDrtiin ofch.jllc 9lonrming $nhSali,i 7fir0) ol Diliinn ]
<br />ol lh. Busin.s rnd PDr.*ions Cod.. .,n my lic.s n in full ro.L! .fl| .fic.'.
<br />''*,*,,', ll'3o'/?
<br />^,, 14A- (/,n.,"nt^* 7 /D35 9
<br />2-4r%
<br />I hdd,y rrm u'dd tErI, of Fiury rh.r ilEr ir ! otrrdih lndir .g*y lor tlE F f.,rlrN of rlE wt fDr *ntn tnt FEr i,
<br />KErt (s< 1097, Civ C )
<br />ttnrrr'r ArklrBi
<br />-AIIr.ll.ANL[lgrIadI9!
<br />I,x! r'nllimu ln Il(nrlry.lp(rlrr),r o,rh. nnk,r'n3 L,Nl,r,i!n.
<br />l).nxniri,DPrnn \ A\tf,{o\ Norificrri,,o ,tdcrrl kcEuL iinr\ IIillcr{,. f!n6r
<br />R.qukn lrrrfl of t*i'tudrr
<br />tl Egularioni Eg.rdirt Bt6ro. rcmval r. d,r ippli.tbE io lhn Fmirr.
<br />lhir t rltrion !n dft lhll llr .lDh inlor lih i (E d. I qrE lo mnPly tnn r[ Cny .d Cou!,
<br />aLtrnt r'htriltltr'g con{ru(r!nr. x'rlh.ruhyrtrtlmrnck'|n.\.nrrr'rr\ ofrhn (iryrnl (iiunryn). trruFn,rh.
<br />u6t-J D?1t s
<br />!-u.tz
<br />Site-Work
<br />a-rz.
<br />,/-
|