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APPROVALS DATE COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (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 />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />ll'rtu+d\FINAL zlv5fuqfi L')
<br />Notes, Remarks, Etc ut
<br />OIYNET BU!LDEI DELCARATION
<br />I @ !,Im und6 Flhy of pdjury thd I m qdl4l tom $. Codr&ldt Ll.ar ts for lh. followina rd'n (S<.701L5
<br />BBiner &d PrcfBion (o&): Any Cir, or Coutny stkh r.qun6 . Fmil lo onrruct. .hq, inprovc dmlbh or Ep.ir &y
<br />.hduq Fnrro il3 ill[rq rko r.q'riE llE +plhol for !u.h Fnn to fiE.t*d nllod OalEo.rEali@E d plEt i
<br />ro rh. Frvba6 oarlr ('onr,rtor'r Lienr.d l,$ ((1+t6 9. ( offiins *irh S<rbn 7000 ol Divib. I of tlE B6iMd
<br />imtd6N ('od.l s rh.t lr q fi. i! qdn9( rhadFli ad rh bdi. for lh. .lLS.d adnFbn. an! ri.lab! of Sdrbn 70ll I t br" r,
<br />.rDltd ror. Frni ebjal. rh. !t?li6t ro ! civil FonI of mr mE lhe liv. nund.d &rllE ($m)
<br />,. s o*M of fi. prop6ty, or ny mployd *ilh waB6 a lhcn sk conpoulro.. will.lo lt!. sor|n dE strule ir t'l
<br />i' orbl or off6.<l aor sl. (Se.7044. B6iB dd Prof*ioc Cod.: Tll. Conhdoir Lt.M Llw (It6 ml tpply lo D ollc of
<br />rh. r,oFry s rb hrild or n t D6 lh66tr,n wh dG st rst nirelf or lEdro.ltEugll hn 6 ha o*! dlployd.
<br />Foyit d rid uh 'qmGEr ft d d6d.d d ord.d ti xL ll lb{6s. rlr horldlB (,qmiqEr !$5 wthn m )t
<br />ol Nrpltira rlE o\rE Suild6 *i[ li* t ! hribr olForiE lhr l! d tr dn d boild or iqmlr dE FoFtv tur dr Fnrc of
<br />l. s o*n6 olthc EorEry, e BclBiv.ly .onridlu *irh lic6a.d .oilrdor lo oBlfucr IIE rmr.d {Sc. 7044. tssm6
<br />ald hllBid Co&: Tt. (onlfldoi. Li.cE Lw do6 mr +ply to D o\nd or FoFly * ho burld! or improv- lhson.
<br />rd who otusl! ts uh Fojd! *ilh r Contto(3) li.o!.il psl:@ ro rlE aonr.cln ! Liox lr*)
<br />-l
<br />m .rmpl unds Sdrion 4ll
<br />I hd.t' rrlim un&r po,nt of Fjury
<br />-l
<br />h!!. rn will Ei.rd r Cdra(at ot ( o.sr ro s.lf-lsurc fM $vtsr qrn+dbr'on, a Fov'<rd for by Sdion 1?0o o f tlE
<br />Llbor Cod.. tor lh. psfoduc. of rhc w.d rd *hth lh. tEnn i iqu.d.
<br />-l h.r. dd rlll nrintro wort6 @mFMi,n iBum.. B r.quiEd by Salior 1700 of $c lrb Co&, fortlE Ffstuc. of
<br />rlE ss fn $h.h rhi F6n ii isd My wdld ottrFdFn ilw ffi .'d Fli'y nu6b< r.:
<br />PolicyNunb6-
<br />_l .ciry rh.r i" $. Ffolrffi. of rlE f,ort fG whih lhn Fmn s su.rL l ,rll mr arylo, xy p6en in u, nr.lE
<br />s s ro tE om {bid ro rh. *si6's Frir6n h*!of crrifomi. rd.se rhr if I rlDuld b6oft $tid ro llE
<br />mli6 onFEdioi FlrilioB ol Sdiion lT0O of th. bbd Cod., l slEll tonhwnh compty *'nh OE Fotih6
<br />WAR:\|N(; Ia'lur. u sdr {.rt6 comnn$rn,n it @LvtuL .id thrll Nbj-r o .nplor€ ro 6i6iBl Ia
<br />add,!F\ to ttc c,ot ot f\fdl( d! s6 ! Ford.d tu th.
<br />lcyz"(-z//1/*'
<br />.nil nnd u0 !o on hudral thousxl dolLE {tl
<br />Sdhn 1076 ottlE t b.r (ii.. mr66.
<br />,L
<br />I hGlny .Irm u.& F!I, of Fjury lnr I e li@od !,id Ftvilion of Clwtd 9 Goffiirg *nh sdi.n 70ml of Dvnion l
<br />of tlE tl6ilB ..d PrcftsbB Co&. trd 6y liaB a i tull tuc .!d .,Id.
<br />Li.@ ( Ls:-
<br />(aruaucuoll.Elltxcl(illc}
<br />I n4bt ,lfrn u.dd FMhy of Flu.y lhn lt6. a. o'do.lbn lfi!f,s,gfty for rlE pqfm(t (rlh. $orl 6r $h(h rht FtDil .
<br />issu.d(sc.1097.ci! c )
<br />l.nd.ir N.m.
<br />-AISJCAILIECIJEAIIOX
<br />I hd*t .rm und6 p6rh, of Fjury o.c of th. tollo{ its d.tlu!! iom:
<br />Ddhhion PaIir$A.bdo. Norifi.alion tcdall R.rulilioE ( I irt 40. Prn6)
<br />-R<quGd
<br />l,116 ot l{r'ft.ab.
<br />I cqtiry 0d rh. a.da.l E8ulrioN Esrdinr Btslu .@vd e el applic.bk b rnn FDj..r
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<br />.-'r}Cr'. r rul 'oa , r," .pplrdei nxt x.i. rhd dE .t v. in,orndior ir corcr I rg* ro Nnpl, *irh dl c y ird cou.ry
<br />odiffid !\ sraf LE drq to hlldlu @,!D.ior dd lE.t, dl$rE rq.srirc ot tis cn, Ed coury lo dlq I4o. dE
<br />rro.. @'$,Ea!oFD 6r iEFt6fp,Do.6 ,, / /
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<br />,*,,--,\*l Zld a ee fl-] ) a c,'crt
<br />ELECTRICAL.INSPECTOR RECORD
<br />tD/stG.
<br />Ldrld't Add6: _
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