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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lite Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding i Grounding / UFER lo-A- ll :Cr.Il (o,
<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 Rouoh
<br />Ceilinqs (T-Bar Rouoh)
<br />Meter Release
<br />Rough 4-ya_l6 -)E- t\f*rtP roi
<br />Service Meter
<br />FINAL v-'28-11 End? lo)
<br />Notes, Remarks, Etc.
<br />OWNER EUII-DEI DCLCARATION
<br />I tErt, dlrm ont( FEI'y or Frjlliy rhx I m.knv rmm rrr Conrr&-lm Liur L.* l tri,ollosins rrln lsc 70.!l5
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<br />-1.
<br />rs osB orl,E rrnFny. itr my cqlhFr wirh *!s.. f,i rtt, {,h o.tEnsri,.- w dr rlts*r,n'lIrdE i n
<br />i' .n(j.n or ottcEd ld sh rsd 70l.l. Busincs inn Pn,r.$i,ns (1tcr TIE (hnrrudoi\ l -t.ns. l 3* dm. nol lPply ro !. o*mr .,
<br />rlE FoFny wh, tuilLt or itrthks rlrR).. un $lr, ddt ikh f,$,lhinclf r h.rslf or rlmulh ht tr tEr osn crihy..s.
<br />,'mvii.r, rh.r su.h inimmds e n ircsLd itr oiL.td rr e! lr- h.6d, ilr | iunB d irlnEmn' n sB srhin nE :ra
<br />.l c-on{,trhtr. rL ()r Er Build.r *ill Mv. rh. t rdM or Eoving rhd rF ur sh. dn d t[iU or itrtrow llr l,oFny ror rrE lorFt or
<br />_ l. !r otr rcr ol rtr pDI'd t. m cr(tu\nrly .onlxrrin8 r h lf,.n{d &ntr.t,F to r.n{e1 rlr ,'roj!\r lSe ?O{, Bu\iF\
<br />trhJ Pnn6\irC{x,c Th.(i,ntdcttr \ t-icc..c l.nwd.c\ n(r 0pplylo rnowE ofpop.dywho huildsor inworcsthcrcon.
<br />rnd rtxt (onrmlr ri, rsh rroF-h wnh. (i,nt{k(rr licns{ tu^uni k' rh. contrdoii lirnc Lr})
<br />-l ! rcx.nrfl u*llr Sccrrnr
<br />lhl. (rr(r
<br />woqtrts' rr[rprxs,ttttlt
<br />lJ[gLI3^lU!
<br />I hcr(hv llirD u.du pcnrlr\ !t ncrrurr om oirlf l,nk,Ntr,B JdLrrritrn
<br />I hsv. uxlwill rnoinGm0 acnifi<or.ofcorE ro S.ll lnsurc fd $ork.ii .uml!.n$r nn. rr Fmridcd r(tr hy Sdn,n .17(x) ot rh.
<br />t,tbr ('(rk, r rh. Frformftc orrlE *.* f rhih llr Fhil i( n\ud
<br />_lhnrrrtr(lNlln drinrorkc^d'nlrn\.r(n,iNurJx.r\n1rrn\lhrSr.ri,rrlxrolrh.l.inlt(ixlt.l'tntrrr'rnut.ut
<br />11[ *o'1i,tr{hi.hrhnFrtr,ir Lsi$rd Nlys'tr[.h .o lrn\arr( \trIk( .Jn icr l lx,licy nnn'tur rr
<br />-I.cdilyrhorirrhcpcni'nu'meotrh.sorkr,tshi.hrhAl.fldN6srdItull
<br />or cnr[,y r , p.r$tr ir any nrrtrm!
<br />!, r\n,lrroft \lhr(r ()rh {.rk.rl uoNn(n{irk)n hu1.l(alitu,trir. rnl ll3ft!rhirrl I (lFuhl ttcom!trhr.r brlr
<br />r n*n\ .ontxn{tnn Jlnr ri,ns ol S.lrhn :l7u} rf rlr I trhtr C{ik I {ull. ndhq ir h conlnlr tr rrh rlnt rcrni)n\
<br />WARNINC I'tulun n' su'c trorlcA
<br />:**-W4,q*
<br />hn lrrcn8c n unbxrul
<br />I h.R.nrr,lnmuRL' p. lrvorf.rrur!rhrr rtuming *irh S(rirn r(xlr) oI Di\t8'n.l
<br />or rrt Buiift( ml Pnrrsi,
<br />I 47
<br />f,HBt tr
<br />I h.rrhr rrlnmu'rlLr Irirlrv", ndrurt E k a (n(elb. Lndins .r.ry ror rrE Frfom . of rh. $ork fo, *hih rht Fmt ir
<br />'l{Ed(sa.1097.c cI
<br />llndcr'iN.'E
<br />I ,5 wi4"
<br />ELECTBICAL.INSPECTOR RECORD
<br />caiq
<br />-
<br />8l 42 (o
<br />AfjUIAILIA!|JB^IqN
<br />| Itq* dfntr uri.r rEnclr y o, rEr|lry oft of rlE ft,llosin, &tlrrr i,.r
<br />D.mlnk,n PcmnrAshcno. Norificrli,n F.i.rrl Rqubrirnr lTirl..1lJ. Prd6)
<br />-R.aFtcd
<br />trtrd of Nolf.aliD
<br />I I
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