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APPROVALS DATE ID/SIG.COMMENTS orirNEt Btltlffr DH-aAR a()N
<br />I h.rby .ltirm urtr FMhy of lrr,try ll!( I o .krpi rmh rtr Cn rrrdr' l-rn- l,u ro. lh. folt'*mr Er$n ls...7otl 1l
<br />Busine$ ad ttofc(irn Cod.): Ant(iryor(i d,*hFhhq!tr.i! Fd ro.nn(u1. ilr(. imlmrc, ii.mnnh or Ep.n rtry
<br />nrudur. prK, r) ir\ n\us c. d$ EquRr th.opplicmr fin ru(h |!r.rr t, fiht riSn d (trrcftnr rhar lEo. rhc n lic.o\cd |]!Nlnr
<br />r. rh. pfl,vi\i(nN uf ilr (hnrrr.ki s l-i..trsd Ir* (CiuI,r.r 9. Con ncrcint *irh S..rn,. 7(Xn of Division I ol rhc Bu\iN$ lnJ
<br />Pn,fcssh.((irk)o.lhal h.orrh. tcruq'r lhcrch.maiid rhclr\ir rr thr tlkS.d.xcnPli'n Any vhl(i'i.fSdrlnT{)ll5 hy iny
<br />.nllk..r lor r Fnrnr sutlFrsrh. !fl'la..r h r.ivilp.mlrtolnn nFr th., filc hudEd dolldr l$5{Xlr
<br />_l. N nsE olr& In,Fnt. rr nr.rit,F! rirh $+.t 8 rlir qft.rf,Fnsri.n. *ill d, ih. *r'I ad ilt <dE 6 B,
<br />i ch&rl or ufi.Ed rr, rh tse. r(}Ll. Buws. ..d EoL(r.{ Qrj. TIE Co.rrror'r l-$n- t * dE. r'l {rly io .n o*ftr ol
<br />rlE I'mI6y *tn lnillt or iqmB tltn,n, rd $lh &Ei *h q'* h'mrcllor h.rrltor rhmugh hh.r lEr oDnciphy.ci.
<br />pmvil.d rhll ruh imnmEnEdsEmr ihr.nd.d oroffddl fttrsh lr. h*.\q. rh. tliuin* or il'{mklfu nsH vnhi."ft
<br />'t.,orsnq'hri,n. rlE ()wn.r BuiB6 will toE rh tudcn oarmvins rhd It Dr rh. dkl d tlild or in{,rer thc IrFn, tor rh. lo4$k or
<br />-1.
<br />&r orB ot rlE FDtEdr. m cr.hrivcly odrdi.8 *dh lnrn<d ndrJlF n, ondn d ilE FoF (Sd ?0&a. aBffi
<br />.,n mr.in Cnd. TIE Cartrr.rr l.tc.r tr$ &E mr {Fry b u o}E of pmFrly uln t'uildr or idpmEr t,86tr
<br />rnd rltu $dBlr ri, trh FsFdr f,nh ! Co donn l.urn p{rud rorh. G'drdr'r Lkft lrwl
<br />I !n.r.mnr unLr S.rr'on
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<br />A & P(' t,nrht rcin,n
<br />}IOTf,I&IS.IAIIENSAIIO!
<br />ITEqJAAIII}N
<br />I h.r.ht dlirf, und.. Fmlrt ot Frur! nE rl rlE folhs tr3 {l(L,lt i,nr
<br />-l
<br />lEr. dn sill ri.t.h ! Ccnir.rl. or Concnr h S.lr'lN!r. nr ro.k6 sn Fnqrrrn. d. Flrild fn hy strbh .]?fi) or rh
<br />l,t-r Cdlq tor rhc terornmc of ltE w,rt f.r whth r,l Fnn ir nru.d
<br />, h.u onl *n I nuirlnin workcrr .onq{ Nir i,rn insur'tuc. .t r.qtrftd hy S(l ir l7l [) ol rhc I ltxtr O]d., rttr rh. |* iflMrcc ol
<br />rh. *ork nn shi h lhis Fnnir is i\ikrl i,, r,trr6! $mB.n$ixrn rnturnr. c{tr .n rni(y nun .r d
<br />-l.cniiyrhrl
<br />iorh. |E lonnrmc.r rh. sork nr *hich ihir n rrn n n{rd.l (hllltror.nl'loylny Pcr\oi 'nany tincr
<br />v, tr\ t, hrr'nr \ubr(r t, rh. rorkcr( itrr(n\rrior h!( ol( rli6n,ir. md lgto. rh i ifI \h)!ld rsom $nFr fu dr
<br />{o't6{.omljcnlrnflnpn,vi(nnsolSeli, \?o(Iolrh.ljhtr (irl..I \hrll. f(,nh*[h eonlnly $ilh rhos prnilhtrr
<br />WARIONC Frituc ro .<c wdt6'o'rtl.dbn om,. t lnl.rtuL .rd 3h.ll rlbFr {.f,pbF '. cidrl Ff,lB dd
<br />ciril lE! ull .o nr h!'n.d rlru.d &lLF (tlm.un),
<br />'n
<br />ddnhn lo llt otr ol o.FMion. .Ld8.! r! I'oviLd aor rl!
<br />Schn 1076drrrEIrlw C.n.ur.E<. .rtrfty ils
<br />D.l.: - Appllot:
<br />r rcnrsrn rirnrnrcron
<br />DESIJSAIO!
<br />I lmby rlfi.m un&. F hy o, Frrury rhd I a licns.d un,cr Fvitir. of Ch.pld I (oIftrins *ih S.dirn ?[x)l of Dirirbn l
<br />ol th Auri,Es.!n PrDf6li)tr\ Cod...,n my licnE ir h tull fotr ad.fid
<br />AIII!I.:A!L!!!:IJSAITQB
<br />I hdrary .frh uftL. Fnally of tE.,ury or oi rlt ,ollosin8 &<lr.r i-r
<br />D.tuIrb. Pdn rArh.ior llorifrc.rion Frd.[lRquhrhnl lTirlc4). Pd6l
<br />Rcqurrc,l lrrrer,,l Noriltsrrn
<br />I ccnifyrhtrrrh. lr.drrnlrc8!hri('n\ Elro'ltrrB .(hc{os rcm,rlltr'r noi llppli.rhk !rrhtrlhrr.r.
<br />-lcdiayrh.lIh.\rEdlhn!II'iil'nei{!r.rhdrh..h,nrnlifdbnis.oNrI.!ra!oo'qy*dhrlr(iyt.dCounryo.dlMNs .d Si.rc U*a ELt iry .o hriuin! con<Mi,tr .,n b,., r!i.nz. EFsd,r tr!! uI rttr\ ci y .td (irnry ro cnrd 'qrrn rlr
<br />.rnn rnrnEd nn,rdy rn n*ern prrFs ,/ /.2 ./
<br />r,eenctrror tamrsranor(.,2 -,, ,l//u' 2/ / zut?
<br />er ritn-* qaoOr /
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Translormers
<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 & Solfit Rouoh
<br />Ceilinqs (T-Bar Rouoh)
<br />[\4eter Release
<br />Rough
<br />Service [\Ieter I r..\
<br />FINAL L-l\-7n vll ,\at
<br />Noles, Remarks, Etc.UI
<br />\
<br />ELECTRICAL.INSPECTOR BECORD
<br />Pole Bases
<br />I tr( r!. N nltU
<br />( 0nrrccr.'r
<br />SIaEIATIIIQd,IJdDIdGISEAqI
<br />I lEEby.Irrm u lcr rEdhy orlf,,rry rhi rrEr... (rNrEriD !,nins.!!ry for llE Frrolrrim of rlr wl ror $rrih tnn Ftt it
<br />isru.n {s€ lm,. civ c.r
<br />I !nd.' ( Notr
<br />t ndcar AddE(.
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<br />I
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