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APPROVALS DATE ID/SIG.OWNER BUTLDER DEUTARATION
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<br />l.d.$G.f rlE FotEry, &crclErvclton -ri!B unh lkq*d colrr*r6 ro s,lrto.i rlr rmr.cr (56 7o.l,l. t\!!6
<br />.d Phisi-C.& rt Conlr*lorr Li.N tlw rL,6 mr .ptly to & o$n. .apmFny {lb boildr or impNv6 lha6n.ud $lh m r-ir aor tu.h Frrer! wnh r Cofrcto{3) lt.6.d pi6un b trE (bdrarofr t.t.e lr* )
<br />I dn.rmpt un .r s(ltun
<br />Drt. O,n.r
<br />uoR(Ens; adiriiiNaA:i roN
<br />DI(I.A.8AITOX
<br />I hF.5, trrltm undd,Erhr olpajtrr!o..ofth. aollo\lin! ddlf i,)n :
<br />Ihav.drjrill i,l.in ! ( .n ilrc.l. of (-oia6'
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<br />S.lf-lNur. lor $ orkd omFos nJn. E F,eiLti ntr h, S<l io. 1700 oath.
<br />Lhor Co&. for rhc Ffort1e. of tn sorl tor whth lL Ffln a is.d
<br />_l htv..rl $ ill mid.in sort6 .onFMnhr iBoluc a Equra, b, sRliin l?m otrh.lth.r co&, aor rfi. Ftolr]lft! of
<br />fic w* for phkh lhi! Fmn ir i&.rt My w 16 onpqElion i@s. .t,F dd !oli<, nlmhd e
<br />l.dirylh, i. rh. Flolrla. of rh. $olt ao. *hih rhir Fnn ir ilucd. I dull rI 6r'pkr, ..,. Frn ar.o) @6$ ! to b<oft .{bj€l lo lh. rql6' onsaE 6nLx:of Cdilomia.,n +c lh.l if I ilsuld tFor uti.{ ro ltE
<br />mrl6 @nFE bnForab6otsatan !7@olrlE Ltbor Co(k I rldl. fonhn'nh codply $irhrb*FoGn6
<br />wAIrlNCr lirilur. ro su. svl6 onp.Mrion @16+. i! rnLsful, xi Jdl .utFr x @pt)t6 k! diminnl Fhhli.trd.nil find up l. oE hun&.d llFund &116 (t100,0m]. i. dlnio. ro !n .or of .ohtrNtio., d.m86 B lioril.d for th.
<br />Sqrion 1076 otrlE Lhr ('ode hGd !n dorE' ! 16
<br />^*,-.,n14,*'12LlfAtsf, coNTrLA(T(!R
<br />DECIJAAIIII!
<br />I hcb, .rm oda Fuiry ol pajury rhd I m licq6.d unds F!tuhi of Chlprs 9 ls'ndtrins rvir h Sd hn 7qx)) ol Divirior l
<br />of rh. BBine dd Pmfdhs Coda lrd my lkN k in tull lor.. Ed cfifrr
<br />,"",...,". K (".' '.17.
<br />qAIIIATCTA!,.LEUUIG.ACE!(A
<br />I hdd,.rfm un& Frt, o,Frury $l llE i ! Fl.ru.rb.lcdi.i rycy lorrh.Fftnr!@. of rh.*sl f $tkhrhir Fmi i
<br />ir$.d lsa 109r. Civ Cl
<br />Ladd r Nm.
<br />ATTLICAII.DECIdEAIIA!
<br />I h.ttby.&d ulxL potly of Fj'[y oE of It fo[.,$i.8 d..hnia:
<br />Dmlilbn t6bn}&tqrd tldi,i.dir F.d6.l R.ruliios (Ttlc .O. Pit6)
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<br />R.quiEd L.rlq of Nrifrdir
<br />I csliry lhd lh. t d6!lr.gohh6 ElEdi.s 6bdG r@or!ld. nor rrplilbh n' rh! prorc{
<br />I.6lrfyrhdIh6.ra!rhn.ppltarhnmdnd.rhd.ath\.inn,nndn,ni!.dn6rI!llr<roco[)s'lhxll(irrand(ounty
<br />.rdr!N6 ud Srat.l,s! EhrB to hrildinS codddiotr,rl hd.b, rurhtrD. r.,r*nr0rir6.f rh'r ('irJ Md aounr\ n\ drd utr)n rrr
<br />!t$rc motnrn d n()pd, fo. inrp.diiJn pUiiE
<br />^per.r or^*.nrsr!n.,ur.:$Q"fe:12 r).,.
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />ht Standards
<br />S pas, Pool, Fountains
<br />Signs (monument)
<br />L ife Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondin g/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 Rough)
<br />89!sh tx lri D+nr/lil
<br />Service Meter t I i,l is,tn't'l.t,t
<br />FINAL iltrln Nlt,t
<br />Notes, Remarks, Elc.
<br />ELECTRICAL.INSPECTOR RECORD
<br />COMMENTS
<br />I
<br />I
<br />Meter Release
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