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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /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 Conditroners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilings (Hard & Sollit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Rouqh
<br />Service Meter I
<br />FINAL
<br />Notes, Bemarks, Etc.(._/
<br />OWNEf, At,lLDE,N DEL('ARATloN
<br />I lmhy .lftrm und.. Fnhy ol Frury lhd I e .Enpr fron rh. Co rdrB Licnc bw ror rlE rolh*ing E $n (sd Toll 5
<br />Bltits rn Prcf.$bn Cd., Any Ciy or C&,r, lhth Equr . Fd ro mn{M. .td. iqmw- &mlirh o. EFE e,
<br />srft.ft, Fi, lo irr i$u!B. ds Equnc! rh. qDltlnr for u:h Fmir r,, fik d ri8Fd rr.I.ffir rhrr lE or rlt n liaMd I,uNt
<br />to lh. tn'vishns oi E Co.reM ! Lkrn*rl lrw lchrpt.r 9, (bnmri(t whhS(rion 7flL of Divirbn I otrtr Burir.rs lml
<br />Prefcs-nt Cod.) .r rh.r lE d {r h .r.q
<br />'h.r.fmm
<br />lrl rtE h.6 fo. rlE .lr.!rd .r.r{,rM ny vnu.n ol Sdbn ,01 I t hy r.y
<br />imh.nr rd . Fmi !ur'F( rtE ipplhrnr io. ciril Fuhy or d nre rh{. fiE nnidEr! 6ller tliID
<br />1,.\ o*tr ol rh. l'trFn), or mycq'l'Fi *i't *l8s is lh(t {le oqEm.lion. will &, rlt ktrt drd llE (nrrE i ml
<br />i.rldl t{ofi.rrl tu et (sr 7(x,1. BuriRr.nd Pro,sri,6 Crn Ir Co rrrd'\|ft.-t *&Bdq,0lyroro*Eot
<br />rlE F,Fny *l$ tDillr or intrr)B ilEEn ard ehl .Ia sn kirt hi|elr nr lrelt.r rhmu8h hn d ts o*n .ipk y.c\,
<br />,mvid.d rhlr su.h nnF)wRnrs E r, inr.d.d orofifrn nr e! l( ts*cE. rlE triljul3 or iryrornEnr irq'U*nhin ftFd
<br />or oniiLri,tr 0r ( rsE BdLk *ill h.r rlE tlrd.n of Fovnts d, lE n dr dil mt hoi! M irlmE IE Fqdy fitr lh. rtrrFE or
<br />_1. ur o*rcr ol rht ln,p.dy, trm crclx\ilrl, cont"cr in8 wirh li(n\.d conrru.ir\ ro (rdrud rlt ,'nrccl (sc. ?0r1. Buenc$
<br />!d ltrr-rir Cidc -fhc c(n n.roar l-icctrr tj* tl,E{ mt opplv r. !n o*n.r of pk)p.n y *lE l'u ild{ or iq"ov.r rhcr.on.
<br />,nd nh. o.rdr fr \kh FrFds wirh r Codllonrr li.Md l{6unr k) rlE Gdrkktr . Lrcne Lrf,)
<br />I ir.xc'nrrxD d s..r(nr
<br />I2IUJtrIIIrI
<br />DCI h.rchyrtlnmu ,lcr t Mhr ol|xrrrr\ o'ror rh.n'l[rtrir! dr.l rrirnx
<br />_l h$ 3rr ,ill tuinllin . (tnifsr. of C.nsnr lo Sclr.lnrw nn luldr omDc rri).. rs I'0vrrdl for hy S.crion 17{r)ofdE
<br />Latrtr C'rlc. fm th. Icrft)ldm. oflh. *orl for *hich
<br />'tu
<br />p.rnir ir irsu.d
<br />_I hlw {d wilr trinhin }ort6 co,rFNrhn itunE..1 r.quiEnbySdbnl7lnoartEt mrcod.. ru rh Fril'rlrE.l
<br />rlE * t ,rt whih rhir Fnil ir irqtcd Mr edt $qEnoh. iNutuc ffir !n Inlty Nrr.r E:
<br />-l
<br />cri'ry lh.r in rlE Ftu tu! of th. vo* rrr *hah rhis FnI is nrudl, I rh.ll mr .npbt r.y Frsn in.ny nUE
<br />$ rs t,lta-r nrt'Fr lo rli wiirs mnF.nqli,n Lwr orcthlnmn. .,n {E lt l it I tlNld lE-m rnid lo rlE
<br />srrri on+.Nr i'n povnbn! of Sdlbn .U00 ot rh. L.hr Cln . I {rll. font*irh d,r{ y enh rhos Flvi.i,nt
<br />WATNING F.iturr !' sur. f,rt n' n!.r{In{i,n $ycnt. !t unhsful. {d shrll rubFr , .rt'k'F kr ciniMl F.hax rx,
<br />rnil iki up h ur hufllEJ rlr,ueftl {lllbr (!|fi|,(Xt), in
<br />Ssr().l(,16 ofltf, lntorQxi., inr.(nnnd hnofty s r*\.
<br />n r) rlr .o\r of ron{xnqrtr,n, d.nD8.r st Foril.J Lr rrE
<br />DISJ&II&Ii DC
<br />I hcEhy rmrn uBLr IEMllyorFrrury lhd I rn liLtn{n unLr Flrirhnrt(-h,!'d 9{commmin8 wirh Sdibn ?uD) olDitiri,n l
<br />or rlE Buri6\ !d Ptr,r.srB Co&, !n n, lioE ir h tull tuN !d.ltNl
<br />Lf,ctr{ Numh(r
<br />CITTEIBI]CIIIIN.IADIM;.AGEBSI
<br />I lEEt'y .ttan unLr FExy ot Flry rhd rlE ir r dlnrdir. !,nh! .8!ft, lor E Frfo'mN or
<br />'hc
<br />wk ft, *'hah lnir Fmi i.
<br />irsucd (Sd. .1097. ( at C ).
<br />AII,.IC/ INIDI:IIJIAIIO!
<br />I hqtnr'dlm uftrr Fmll, ol F rrry oE of llE folk'rin8 d.(lu{ F..
<br />Dcmrlirl,n P.irnill.AstEno! Notificdhn Fcd.6l R.8!ldhns (T[1. 4{}, Pd6)
<br />-R.quird
<br />L.xcr of t*rifErrin
<br />I rrn'ryrhar rltr,id.rrl r.*trhrio.\ m3rdmt r\tf,{o\ rrnirrllc Nr rpfl'.xhl. r! rhA nn,Jr.r
<br />-l
<br />dilt rh.r I hd. Erd thn n'ilk.rrrn rrd h. .h{r rr{trdi,. r dnd I .erc ro mryrlt f, il
<br />('o!nry .o .ntd lrDn rlEordimrucr.d Sra'c lj{rrch!rnab h,Uina (o ;x;rh,rc Nnrtrtrf,d nx)Nnr l,n nn|iYri{l
<br />\pplnufl! or l!u! \irn{turc K re
<br />t!7r*,"o.-rNSPEcroR
<br />REcoHD
<br />AVt Cet rart
<br />I 7/ 2[ /2'<4)
<br />.lr
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