|
ELECTRICAL.INSPECTOR RECORD
<br />I hd.l,y .trm u.di F.!h, ot Fjury rhd I d .ropl tnD rhc cor ,.cl(r Lic.nr. Llv for lb. loUowllg ft&n (36.?0ll.5
<br />Bsind t'd Profdir Co&) Ary Cny or CoEry whih r.quc . Fni lo m'dNct dd. itro.ort &Eliri or r*'.n i,
<br />ltrucrue prior lo n! iBMce dlo r€quiB thc +dkdr aor ru.h Fmi h 61. . lisftd .r.rddt rhd h. o, !h. b ltaEd puad
<br />ro rlE FlelioB ol $. Contrdd t Lk.nr.d L.* (Chq6 9, Co.mcir8 qht Sdrirn ?ooo of Divtbn I ot 0r BdllE.::li +
<br />Prcfsioc Cod.) or rhd n or !h. i d.hpr rhs.notu ud $. bcb for rh. .lkS.d .ldplloi. Any vhldionoascrin 7011.5 b, oy
<br />llglkur for . Fnn ebi.cr! rL .pplt&r ro . civil Frty of 6l mE rho 6v. ltutir.d doll,r (ltoo).
<br />()\\\r Rl|( ll l[RDrr ( \R\r nr\
<br />l. 6 orE orth. FrFry. or my mplo)6 wilh $rsd 6 lh.n $L @dFErbt qi[ do 0r sti !i dE rMc i d
<br />lrod.d or oltsd fq nlc tsd.7(!.{. Bsi6 ed PrntenB C.<l. In (t.rr..in'3 Li.aB l.\ {r,6 ml {?! ro D ow of
<br />rh. FrFry who hil& c mrrcvg tlEo( rrl sho &E un NrI hi@clr.r h@lf or lhfu8h hi! o. ts om @ployd
<br />Foyiicd lhn kh rissllEbn mr ddrLdddi,* tu -E l( hor6s. Ehr dils s irFlE'r.d ir Fld $inh m )d
<br />of.orpLrioE tlE (\16 Boitld will hlE lhc hrlo ofFovtts th, h. or slE did ml hdd or inqor. $. FDFI, for llE prFo!. ol
<br />-1.
<br />s o*E ot tlE FoFry, M .r.lurrly codraros "nh li.@d .odrdoR ro cotrrrud llE Foj<1 (Sr. 7044, 8']3l]6
<br />.,n Ploksin (-odc: Tt ( on,.croir l-ice llw dc mr .!ply ro e o*E of Fopdly qho t(il<L! or inpro\B th6@n.
<br />Md $ho co.lrffi lor $cn Fojd! wnh a coiulcro(, lta!.d plBwr b rh. conr,.crdi Lic@ bw)
<br />l!98riE&IlaufrNAIra!
<br />DTSAAAIIA!
<br />I hd.br 6mirn undd,,cnlhy otpojurl on.ofrhc aollorvq d(lanrioN:
<br />_l h^r dd will mii.ir r Cdilicdc of CoB6r ro Sctf-lBuE for wrdr @ilFn$noa 6 Fidcd for b,
<br />Irbor ( oda ld thc Faotu. of thc *o for whi.h rlEF(ir it irsu.d
<br />-l
<br />ar .rmpr unds Srrion_
<br />i.ts.s od.nomy'i fG
<br />XG,. *o *r,*.o. *.'r.a' corFsrion iruec..6 rauucd by sdn,n r-m
<br />'
<br />'L srr ro, ")5qh! FrIt ! s,.d M) wta' mmFlrrn trllll8. cffi d F
<br />-/-aerre-,.*,@,,.r^_--r---
<br />-l.drify
<br />lhlr in rh. lnf.nrm.c of rh. sort fd. whi(h thir Fmn i! iscd. I shlll rcl 6pkry uy pden in tn, nmd
<br />$ 6 h b6oE sban ro tlE *!lt6'omFlrbn b$ ot(.liromq !d.sE lhd if I ih.uh tEom $tid to llE
<br />$r*d' coftrqurtun FornioN ot S.nion 3 7(X) of rhc lrEn Codo I rhdl, fodh*nh snply *nh thor pmvirnN..
<br />WARNINC: lailur. lo Guc *itrt6' comFBdion infln. is unl.sf!1. 8d trh.ll suhjer M aploy6 lo qihiBl FEhE ud
<br />cnil fi.6 up ro orc husi.d rlill@d &'lbB (tloo.(m). n .ddnion b rlE .or of.onp.Nlior d!.rs6 6 prortcd for lh.
<br />L
<br />D!CIj8AIIO!
<br />I hdtby aIIm u.d6 Fdry oaFjory thc I m licd..n ud6 Flvbion of (tuFd 9 (con]lMc'ns qirh Sdion 7000) of Divnion :l
<br />of rlE &BilB sd Pr!tdi'6 Co&. rn 6y lE.e 6 d tull foc rn.ild.
<br />,**rn* B, C2,44. Z 4 Lrc.*Nuobd 717/7a/za/,t
<br />SIIIiIAICIIANJEIDIIG.AGTA(I
<br />I h@6, arm u.dn Firlly oaFju.y lh.l lhEc ir a mElruclion kf,dins asacy for lh. pdfomdc. of
<br />'h.
<br />wotl for wfith lhi! pdnn ir
<br />s{d (se to97.ci! c )
<br />L.ido'r Ad.h6.
<br />-
<br />AIIIT(AILIICI.Af,AIIA!
<br />I ho*y .fm unds po.Iy or FJury oG oarh. followi.S &.Lr.r bn3
<br />ttmlilbr PcmneAsb6lor Nolilic.rion Fcd<,.| R.suhlir (TnLa0, Pm6)
<br />_R6ruiEd ln16 ot f{rrifi.iion
<br />-l
<br />cdlity rhn llt f.d6rl r.gulltbB E!d,B 6b6ro! rml d d. m' {rlk.bL lo rhir Flrcl
<br />,6v. Enr6n.<l ptuftn, aor iNFlbn
<br />Atlpli.rnr or,l*dlSi!n{ltrrr
<br />-l
<br />cdify ihd I t6..a! thi rpgli,lion sn i.t. rhd tlE lhrE in(,miio. is rmd I isra ro Nmply $ilh .[ Cny lnd County
<br />dd'ne6.nd sld. t * r.lils lo hrildiry co'drucrKn. arj h6.ty rurlEDc rcF@tnn6 olrhk ciy ed Cou ytoEnd l4onItE
<br />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 />Torqueinq
<br />Sub-Panels
<br />Air Conditioners 5-l/-rs
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service [/eter
<br />FINAL .r- l,t -t c --)Notes, Remarks, Etc
<br />/Z^I A5 /*/e
<br />APPROVALS
<br />Transformers
<br />t--+--
<br />la )---=:.=
|