|
ELECTBICAL.INSPECTOR BECOHD
<br />I lrEby afirru unns p.nelly or F!!r, rh l on .knpr tbm rlE CodBtd LitN tr* for th. lolbrin3 E.$ (Sc.?011.5
<br />BBiBr ln ltolcishi clxL,: Any cn, .r cddy *hth ,.juh . pqri ro sinx1 rlrq. inF.E. &mlirh d rF, r,
<br />tulE FE h fu (s!8.. .lo Equi6 r .pplier tir. s.h Frni ro 6L r !ig.d rn.rd rh{ h. or sh. s lic.tEd ,'im.d
<br />ro rlE Imvisiofr or [E ( onticr6fi li.nld l,* (C].t..9, commEins enh Sdhn ?(u) ot DNn.i I ortt. aBiEs dd
<br />Prof.$nN CoL) o rfiar lE or ai a €eq, rhr.toh.rd rlr bai nn th..lk3.{.hFDr Ary vlbrir of S.de 7oll5 hr {,
<br />.pplrcld lon Fmn $bFh rrE dtpltad to r cn il p.Mrry ol ml mr. th8 nv. hu'd.d dorllA ($d,
<br />_L.\oinc,.ffi.FnIEny,ormy.mplorlarwhhe,!.s-rb'$L.on.Mhr*ill&th.Ert-d0E!t6@i\d
<br />i .dal u ollcr.n fr sI. ( Sd.rol,l. tluiFs rtul Pbiddm CuL: Th. Codrdol, Li..n* lI* &.! nor $rly b D o*Er of
<br />th. ItrIFny !ll' to[t! or i,rlrowr tfta ,nl vh, (lls rEh kxt hilMf ( lEEll or rrrdBn hii or Er os .'trplo)6.
<br />rnril.d $rt rlch m(nrEre s or( !r.ri.i dolfo.d d s.l !.lts.w. t& htliE n nr+ftdd n eU *lhhrE F-
<br />otcorptria iE o*Er Auilln *ill hrE tlr hrdcn olptuvh8 qIl Jr dil d hoiLlor !r+.06 UE rDpdry for'tt F4@or
<br />_l- e; o*Er ol is Fro.nr, !n.rclus\.lt co rerD3 * h lic.nsd &nr.nor b mnrtucllE PrrFl lsd. 7lX4, Busms
<br />d! h,Csm Cr'd.: IE Cn.irEnrl L'..n€ I-N &* d rpDly ro .n o*E of I'oFny }lh burldr or rproE rlEEr
<br />.nd *ho colM3 16 uh FrFk ynh . (iddor(') li.trEl pltld b iE C.rr{.ra t Li.M L:r).
<br />-I
<br />rnr.\.ofl u,rld s(ittr
<br />!!94f,!$i:g!EttEdtalI0!
<br />DECLAEA.IIII!
<br />I l$h, dlrn und.r Fi:ny oI trrju..v om ofrh. nnllur8 d..lrrirtrt
<br />-l
<br />hrv. lld wrll nri,ru u C.nfir.r. of Con&nr io S.laln'uE iq *nlqa sn{Edrn, 8 Fuv,!.d ru lry sdt6r J700 of 'lrlrld Cod.. fd rh. Fridmr. oI rlE \rt ,or *hih rh. pdmit a ir.Ed.
<br />-I
<br />h!v. Id srll u, rr w.rk.B- d,np.d.lDn r$drE., r Equdld b, S<rio. 3?00 of rrE riot Coa., n rIE Ffl,r:rE ol
<br />rlE r'd nr *hth rnn Fmi ir arnhl M, *616 otr{tui Nulm ffi r, plt, nurt . cl
<br />Polic, NuDbcr:Jrrrct:
<br />_l ..nif, rlu n llt Frfo.nrrx. oI {E vorl fd rhth lhi, IEr mj! n ntE4 I ltull ndt sn{'loy uy |tra,n in sy nmM
<br />F $ h lxmm suhrd l. rh. wtal c.mFnralion !r*r oa C.l'foni.. .nd llG rhrt if I ilb.td lEsE &br.d to tlE
<br />f,od.h e,rp.Nrbn pordi,s olselan l7@ol Et !,Ocj..I fill. foah*nn$ipl, v h tb. DovitrE..
<br />WAI|NING: Irlor. ro su. !o .F'.on4.Ncion cov.dt. ( uUwfuL u{i !h.ll lubFcl o .mplord ro 6irnn.l FMtit rnd
<br />civil lifts urr tu ok llu lrat th sid do[.( (tlm.ooo). !, d]d r,. r! rlr.o( of coril'.Nri@ d{88.r a Fovid.d fo. rlE
<br />s€rpi x)76 dt rh. t br ctd., tn d a dldrlt les.
<br />IICEISIED.G9NIMj:SA
<br />D&CIA8A:TIAN
<br />I h.En,.rmrud.rFexyofF.jury u I !n Ii!!'El u'ns FroYilion o, Cll9rd I l.lnlllftins qm s&u 7@o, of Div!.tr 3
<br />of rlE BsiBr &J Pmf.$irfr CdL..^l my lk.n€ ir i. toll roc rd.ficl
<br />Li!s. Nutrlt r
<br />qoNualEI&d.-LEdDlNli GElcr
<br />I tmb, .frFn u.dcr p.m[, of Fjury rh{ rlft u . con{ais lfldi.! ,!dy r( ft p6r.m. or lh. vrl tu rhah rhi. pqnir r
<br />n al (s6. 1r7, ('ir c.).
<br />AIIIICANLDECIdSAII9N
<br />I Hrt alr6t !fild Fn.ny of pdirry .r of rh. f!,lLr*n! d6LmiE:
<br />D.mhion P(mirt-A\IEnrB Nr.ftri,n !_.ns, RquLlioN (l nlc .r0. Pd6)
<br />_R.qu6d titrd of l*.fslio.
<br />_l(.dilyrltrrrlRl.r.lrclul.ri,'N 3s.lm3 sh.{.s rcmtrrl r nor +pl{abl'tr lhr Plr.d
<br />-l
<br />cdily rhd I luw rcrd $ lpplilxon dn ur. lh,r rlE lhotc inlorrlED i! comr I arre ro o.{ly unh rI Cny !d Counry
<br />o.di4fto 6d std. h*i rcLrir8 ro h.itli.8 cnledrn !n hcEh,.ulrri4 rF.t d{E ollh. Ciy ud cd ,rodour.n r
<br />.torc.mtioErj prDp.ny fq inrpdsi p!rpox.,.
<br />A6!.d or A,6t SIrdtuE
<br />-
<br />lrrl
<br />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 Sarety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unil
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />ltrleter Release
<br />Rough
<br />Service Meter \
<br />FINAL '4\qt u \N*r 1
<br />Notes, Bemarks, Etc.
<br />Rev.08-07-201a
<br />I
<br />I
<br />I
<br />I
<br />l
<br />l.nJ.'''NJ E._
<br />lridd'r addB
<br />-
|