|
ELECTBICAL-INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilinos (Hard & Solfil Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough lo-1'%!.W)A)l\-/
<br />FINAL a
<br />Notes, Remarks, Etc
<br />OWNER AU lt,DPtr DELCTTATI('N
<br />I h(Ehy .rm uDLr FDlry of FrJlry rh, I m .r.nyr hrh lh. G' k_-(E t!d* trq for rtr fdlown! E. rse rUJ l I
<br />tlorF3r r PRn.$$. cil.): Ary c yorCoiryqh.h r.qurr. Fmi b. ndM!, !116. B&ok, &mlirh or EEr uy
<br />srru.'m. riu
<br />'1r 'rr nlurN. aho rquiE! rh. rt,licer tor lkh lEmir h 6h r rl8n.tl iroEni lh.t ll or nr i LienRl tw&tl
<br />h rh. nn,virxns uf lrE Conlrrld'r LEn€d l,w (Ch.pro 9, CoItrEin8 wilh S.crin 7000 ol Divirion I or llr Bunm* sJ
<br />P^n.(k!rt Cnk) or ihrr lr n nE !.(tr{Il rh.r!ftoh.rn rlr E$ ntr rlE alls.,l.r.n{rirn any vohr.n .t SRrnn '70J I J lty&y
<br />q'd*. n .Fmn !!hr.Brlt rrrlNllll tr r !*'l Fdlrt or frft rh.r fivr hudr.i.lolla! ilsq)r
<br />Xr.. u*, nr 'r* r*'r*y. d mr.rFr,F.t wuh e.s6 r.lh.r $k drrEnrrrn *llt Lb r,i kfi,n E.hlrEml
<br />hl.dal or ollad li'. qL l Sd.'70{.1, Eorm( .nrl PEf.rrbn! C,rL: Th. conrr-tr,i l-.sc bY dci ml +Pl, b & o*Er ol
<br />rh. pn,Fny whot dr.rirymEsth.mn.lllvh)diBqlm hrmscla or h.scl(.r ihhuSh ht d h.r own.ry'loy.cr.
<br />I'nrvrLJ rh,r rurh mljfl'wftnk e k ddkn orotrcErl ttr !L l( hlEE, rh. l[rl]ry or lr{mkdnr Lr hX wihr oE Fs
<br />.r (t{,tliotr r,E o*rr BuIl. w l &k rr. hsl.n orFDvhs rhr rE d !h. tln rn tu!,tr liFrE dE FiEiy r( r trF*or
<br />_ 1. rr o"E ol rlE F{dr. .m.r.lu{(tr.-draroS w h l'.dr.J .d ra1B ri, on{81 rlt FrFl (sr 1n4, aBN
<br />.nl Pnft.rM C*L: Thc Co,lr*xn r l,i..n!. tr* LIE nn rl'f,ly n' u ow6 o, nnrFdy rho buildr M imFsv.! rhd.on.
<br />&nJ *lx! 6dnck n, luLh FUjdts w{h. C'onltutrtr lEnsd p! uu! 1,, rh. airkrkr r Li(cn< llw)
<br />_lrh.r.mpiu.rSer|'n_
<br />I h.rhy.lnmunJcr Fnllrvol Fjfyom ol rh. t)lt,rD! &rlxnr n\
<br />Ihlk rl *ill N rnrrin ! Ccrtiarar. o, ai,n*nr h Sclun$c r,tr *nrk s' $nFnr{ r'n, $ F.vilai lhr h, S.cron 1700.[hc
<br />I rhtr (irL. lM tlE FtfrBr ol llE xft nr *hrn rh. Frmrr r !$.!
<br />_l h,k nt ,nl m'nr.D k'rl6 con$6.r.n Nrm., ( Gqu,.'l hy s<r,n l7ll) or [E L.bGCi*.,o, rlr Frrt,rmr or
<br />rlr s,t lq *lEh In! Fd ii arbl My ?dtd orqtndb. iNu*! ffi !n F,li., nrtD., c
<br />X@,.-r, ,t, .,*,**,rn*. or r,r *u* h.rl.hrhrhnFnr r 6ru.rl.I $t rn.rpr,e,Ffl{6 t.W'_i;.rr. b.$G ruhFr r! rrE s,t6 {tr{tdDn l,,r ofc.li(tu. ul tsr rh,
<br />'r
<br />I nbuE b.om ol'i{ n' rlE
<br />xrt6' snlccnqlr,n Fnvsonr oI SciM ]fto ol rlr llhtr clrt.. l rrrlL nnh* h (,q y silh lho3 F v!t!]B
<br />!r'l lrnc\ un (, om htBldl rlk,u\r JrllT\ lll{D.Ullr. 'n xlJfk,n r]
<br />Sd$n.m76ol rh. tiht Gil.. ini.r.{ rtul d(my r te.
<br />,56 1c>-7{- /1
<br />I h.Ehy !,lrn und.r r.nilryolp.rJury rld I rm lNnEl u cr tNvnn)n ol Cn+r.r 9 (ohnrG-r8 r,th Serk,n ?dI)) ol Drynon ll
<br />ol rhL Brsms dhil Pnr.*ktnrC(xj., {rl ny lt.tr* r r ful nn dt] ctta.r
<br />IaIIIB.UflAMJIITING-^G,EUCI
<br />I rEr.6y.rim !d.r Fmlry.a rErrury rh.r rlEE !rNn tu1r,n Ldos+.Ey r rh. FrixlrED. oI lh€ qtrt nn *nxh rnLr i..h, !
<br />n.EJ rse r(}r7, crv c I
<br />A'PLIC \.T DECLARATI(IN
<br />I ho{'}.fmu ld Fnrlry ol n 4ur, om sl llE nnb*u8 ,isL..i lnr
<br />rkm,l r,n P.rmB- rh.n.r Ndrak.rr,.lric.rl Rc3uLri,n!rTlrL 4), Pfi6)
<br />R.quRd tr(fi ol ld'lfulnn
<br />-l
<br />.cn't rhsr rh. ,.J.al rcgxlarx,nr EBdJnS .rh.nos r.m,v, rE n .Itlf,.bL to rhs pn,Fr.
<br />ff(d'ry rh.r I h.E Erl rh!!.pf L.r,n.n 3ry. rhd tlE fi)K rn',h,im s (rer I .eR L L$q y enh.u c , ni Cooiry
<br />irUtrE6 .rn Sr!r. L.*i EU hs ro h'Ll'nr q$tur-r rd h.r.t, ruhoru. F Edd'Et of rhjs C'ry .d Cedy ro nrd oFh rrr
<br />.h,w ,.,rn*r pn.Fny ftr o$qr*r r,eoIl
<br />^"rn^,*^o,,'"*{ .&,/h-- -2\La-zEL
<br />p,^u*^*,o^K A L€*'6*L,tu r -z
<br />v@iltr/v5,ftr
<br />I
<br />ID/SIG.
<br />Service Meter
<br />,v_LD_j5i_l_4
<br />.o( ol ror{Ener!,n. dztu3ct d provcl.J f,, ih.
<br />(-onl lor.-
<br />t--
|