|
APPROVALS DATE ID/SIG.COMMENTS OWNltR AUILDM DftI,CAIIATION
<br />I6,.rmudjd F ryorFt.ytli I6.rn r tu6rlE cft'm tj.r* t r lbl,r toL,*r c.s (S.c,?011.J
<br />BBiB rrn P.dlairi c.d.): An, cay o. cdy ehah Eqona r Fd to @NnEt .ha. iiprsE &'6lrr M ,rFi i,
<br />tuir, |'i,b irt isuaq $ cqliF] rh..tplisr for ru.h Fmrr ro 6L. rixEd,.rmr rhdt or,E n Ueor.d puslll
<br />h ir p..BioN .l fi. Conrr-tri lx.trrd l.$ lor!.c 9, ColeEin, rah s<tiM 7m) Drn6r 3 ol0E BsiE! rn
<br />f,oLsid Co& r d rlu lr q {r ! .E,t+ rid.6Dn ud tl! b.tr! fq rt r,ll.r!d .rarqir Any rbh'n of S..!n ?0] 1.5 by uy
<br />rppliur lor ! p.rnir :ubF( rlE +pltdnr to ! .ivil p.mlry of mi ,fr. rh.r fir. hundEd dolL6 (lJO0)
<br />_1,so*ffiofrllFoFnr.dmyrr?br.r*hh*.Frrh.i.$Lorp.ndb4kn&l}lx'trdttfiruccadd.nlal ir o(r.d ro. st rsd ?O14. BuiiB! ul EDldioB CdL: TIE Codr*rqt Lk.E trr Je. ur !9p1, & e osEr of
<br />rlE FrFr, rlD ln nd iqt!6.tr!e rd rbo ds rdr k l hiI(! q lErud rl.ur! hn q Er o,n.!q!1q6.
<br />Foiid.n $.r !u.t DFtmlIr n d{ ii.rn d fofidrd rd r] Ir. lr*ff. OE IliEtl3 ( dF)wn n i! dnn d J.rotcdlpl{i,! Ll! O*Mr Buirk *ill hE tlt h,nLn ol Fovm, lhr lE r nE 'jil d hli! a rFor tlE rrDFly nv dr FrF4 or
<br />_1, $o*Erof rh. Fop.ny, u.{luri'.ly (oDLrrtrU *iLh lartreJ NnEhu to onod llE FD}a1(S(, ?O44. Bu.tr$
<br />!n hla-qnccL Thc Coddn ! Lt.ne br &- d.Fglr ro d ovE.lFoFny rho turldr 6 EprcEr rlEotr
<br />.!d *lb odrdr lor rlch Fntd. unh. coffi,fl r lECBd FlrlM b i c.turdd! l5E lr*)
<br />-l
<br />u,.(flri !'rLr SRiin, ,B &PC lurlBErlr
<br />llj]f,trDf,l-(0umi$Il1t!
<br />DECIa&tIlrl!
<br />I l{rchy rlr'.n urJq ncnrlrval porurv on. olrlr.n)l[,*DE d.cLr.tra
<br />_lhrEin*'llMrrmrCd *d.otclbr ro S.tr-lrs f6 w.td orFirr!4 6 FlviLd tu t,Safun l7m otrb
<br />L.hq Cod., lor rl* IldldmB. o((h eo.l ro ehth rh. F ni k nu.d.
<br />_l hrE rid uill nEd.u u'n6'.oqrMrM Belu.. .r 'tquE t, Sdrrr l7m of itE l,bor Cod., tr rlr Ffarar or
<br />th. eorl nr which rhn Frdr n ianf,d My *0116r' dlr{EnuDn Dtlrw trxr {n llliy nuob.r e:
<br />rh( |{'ntrtrun c !l rl[ *Ltrr n)r wh(h ihtr tr'trnr n trrucd. I \lull cq'kly !try pcB,n tn 0y lDm.
<br />s s b lrnft rubrcr h rlr wl6i ..np.Mio. Ler orcthlomi. rn .ar Od i, I rtrEld bcflr st'Ft ro ttr
<br />*u{{' anp.NratrptuvhsBo(Sd-nllmordEbhrCulq I ir[ fdrlnvnhorpt{tt!o*FtrBirE
<br />WAll]\$iG: FrhE ro cu. rdr6 6n .d6r 6w.{.ruhFq s.ipklF, ro 6inBl p.Etb an
<br />l,unlrcd rhousid dollrr {Slm.Ux!r. rn uld(llE .o, af .rtrp.treriod, dm!t., a
<br />LEEb, rfrm !ai.r iEMlry of D.rtury rh.! I rnr lien*l u!n..o, Ch.F6 9 klnrEBin3 *rh SarDn 7m) of D,vBDr l
<br />(ixl.. fil nr lr.n! ^ 'n
<br />full l!tr( x! .ff.( I
<br />bq45
<br />(OlitIB!..{JIltN.IEdl}lliGlliENEl
<br />I hcrcby.llnm und.r Nn.hyofpcrjuryrhn rh.r. n i..6{tucrion kndin8 t3cmy tr ric ncrr.'DEc ofrh. *drk lirr rhihrhis Fmi i\
<br />APPLICANI DECI NATION
<br />I ha*tdmun.r Fnrly ofrEir, (E of E foll,*nt d6lrrriou:
<br />D.mftion P.rn t.A3trno' Ndif(rion Ik!$r, RciuLri, frnk 40, Pd6)
<br />-RcquEd
<br />Ldt( oltidfrriq
<br />_l ccnrly tld rlr r.d.nl r.8!!d!n EErdrnI .rbGlx Edtr.l e rr p?li.bl r. {hE p.6j.r
<br />l,ad'lr rl'a( I rL'K '. 1rh^.nrltrJto lxl rlEfi,rc rlurnd!)ns.'rccr Ir3raro.onplt*(hrllC[y{ldCoutrry
<br />odiMr.r.!rj Sr.tc Urr rbruB h hildinr
<br />tio\. lddEd lrnFnr ft, frFrFn FrFE/
<br />Appli(..| or Afdr siRMr
<br />..d kr$y rurhrir rctx.ed.l
<br />(,4l-n
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Soff it Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />lvleter Release
<br />Rough
<br />Service Meter
<br />FINAL 6/4o/zo L6q'f
<br />Notes, Remarks, Elc.
<br />Rev. 08-07-2015
<br />ELECTRICAL.INSPECTOR HECORD
<br />ir.r-t (sa. 1097, civ. c).
<br />Laddi AJ,rE
<br />-
<br />(_.,
<br />.T
<br />I
<br />I
<br />=
|