|
APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torquing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment ^, nlL
<br />Factory Wired Unit d .<lr'-
<br />Walls (Conduit).o\Y^o',
<br />Walls (Rough)af\ ,a
<br />Ceilings (Hard & Soffit Rough "ov-
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough e-G4 qL- ,
<br />Service Meter ./*.)/
<br />FINAL 6ht/zr 2-r
<br />Notes, Remarks, Etc
<br />O*na'B!'ldd D.ddie
<br />I hftby rmm udo p.n.lr, of Flury lnd I s.rmPl fm $. Cord@ Lie.!. Lr* fd lnc follo*in3 16 (B 7Ol I 5 Buirtt
<br />sd Prc(4i@ Cod.) Any cny q counly thich t.4ui6 r Fmtr b .drud, rlld improt.. danDlith or r.p.t &v t@cl[c, F@ Io iE
<br />'Mc.. rte r.qutr6 th. .pglior fG &.1 Fnt b fil. . .i8n.d i.rsEr thr h. d rh. tr lc6!.d Fllrur lo lh. Fohti or dc
<br />C6rdd'! Lic6r.d tra (Ch.9.a 9. C6fficin8 wi.h Sdio ?0OO of DivBio I ol lh. Suhd &d trot6idr Coa.) d li.l h. d
<br />fic is.x6pr thRflm sd dE bst I( d. .ll.B.d .rmp.i6 Any vrolstion of S4rion 70rl , by My lp?lidr fd r Fmn tlbj.clt lh.
<br />.lplimt ro r civil Fdt, oi no( ttr $3 fiv. hudr.d &,lla (ltoo)
<br />/ L s dnd 6I $. r..r?iy, d ny 6ploy6 *rth u.a6 s U.n ioh cmFn id. will <to lh. wdt Md $. tEud@ tr nd rrad.d
<br />or ofl.r.d fd !n. ( S.c 703, Suins &d Pof6si6r Cod. Tn. C@tulnt LieM Lt* dc nor 4plr loM ow.E of fi. Prop.ny
<br />*ho b{'l(b d imFo!6 thdu. srl rh6 dd run rdt lriMlf d hell a dEfl8rr hi. r hc os nplor6. Fond.d hrt .*h
<br />'mprovt]ml. e nor in6d.! s olIad fq dc I( n@.6. {t. h{ildinS d mFffil
<br />'s
<br />sld itlin @ yry of @!9laid, $!
<br />Ow.d-Suil.Lr will htvc thc blrdh ot provinS rh.r hG c rh. nd build s imFovc fd rhc PurF.. of 5.1.)
<br />_1, s oq6 of lnc Fogdry. e dclq'vcly or.ci.a }i.h [6!.d 6r*td lo.d!a[c ih. Fojcr ( s< 70a,1, Bqrn6 6d
<br />rrDf6io Codc TIE C6i-..rdt U..@ L* dG no..prly to n ffi orFo?dl, 'ho hrl& d ittFo!6 r,roq. a'd who
<br />@hreE ror ruch prcj*E vi$ r Corero(, licar.d pusuut ro $. c6r&rdt 1i6.. L.* )
<br />I hd.by amm !.dr p.n.lty oa p.rjury 6. of tI. roll@h8 dclnio.s
<br />_l h.vc !d *itl Diallii r Caii6.-. of Cd@r ro s.lflnt@ fd tdt6' .drFdid. ! Fovrd.d fd b, s..rid l7@ ofo.
<br />L.bd Cod., td th. Ffdlme ol th. wrt an wtich $. Fmn i! isud
<br />_l h.!. &d *rU fljnu,. *at a .mlntd@ iM! @. s r.qurEd b, Sero !7mof ,E llbd Co&, for th. Ffdfue of th.
<br />rdl td 'hid $n pdrn'i it i.{.d My rdro drFldid i |fu ff6 Dd pol'c, i@bs E:
<br />Poli.y Nhbcr
<br />-ExptB
<br />(Tni! scrio. ned nd b. cmpl.rcd if th. poIir is ror O.. tun&cd dolld (l l0o, { 16)
<br /><:i61O ,r'.t ln ,r,. por^e oI thc vdt r, shich rhk p-hn tr Fss rn ry lMn6 $ s ro
<br />bccm rubtct to iic *ortB cnF.rro LB of Cn'fm'..
<br />:'"ul':'0.,ryi*'*a
<br />vt..ARNINC Flrlur. to sccu!. *ort.6'comF.sanon cov.r4. R rhall.ubJct s oploy.rro eimin{ pcnJLi.r ud civil
<br />6c up (o tr tofiLsl dE]sd .10116 (t loo,000),ii .ilditi6 !o ln. .d ol @lposr.i6, dr!{.. E Fohd.d It th. Sdtd !076 of
<br />ln. ti.. C.dc, in6El od .nm.y'. 16
<br />LICENSED CONTR CTORS DECLANATTON
<br />I n6.br lim ud.r pa.hy of Frury ln.l I n li€..d u& Fod.id o, ClllFE 9 (cd,md.a snh Ser'6 ,0o) of D vitio , of
<br />rhc B6i,4 Dd PDr{'6N Cod.. nd my li(.e ir h full f@ sd cf..1
<br />callraugla!.JlllcrcEdcr
<br />I h@by .flim u,idd Fdry of Frlry $.r ,re u . @.tEd6 lqdin! rao.y ad $. Fftu of thc rdt ld *h8h thir Fhrt ir
<br />nru.d {S( J097, civ c)
<br />altLlc^ltTs DEcr-^R TIox
<br />ooDlirm P.miB-A dc Ndridio F.d.rn R.tuldiN (Tn1..0, Pfl6)
<br />_ R.gun.d !d6olNdifidio
<br />_l ccn,f, thrl tic fcdarl earld'G E8rdin3 sb.t6 .mvd E nd .rpliobl. b drt Forer
<br />lli t o,.r r t'.*,oa uit 4Dlicijd &d rl.l!l,l.l .!ov. hflfuio ir.dE I .gra to .mply wllh .ll Ctry sd Ce.ry
<br />hs.by ruthdia Epr66uiv3 ol thn Cny e.l CMi, ro arn upon rh.
<br />,
<br />ELECTRICAL.INSPECTOR RECORD
<br />3Zt 8
|