APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab i Floor
<br />Bondinq / Groundinq / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soff it Bouqh
<br />Ceilinqs (T-Bar Rouoh)
<br />Itrleter Release
<br />Rough
<br />Service IVleter
<br />FINAL 'z-/7.2,J/"-U (q,
<br />Notes, Remarks, Etc.
<br />I'WNER OUILDEN DELCAIAION
<br />I h.rchy lnirm uftlcr p.tully 0r p.rjury thll I un rxc'nfl rb , rh. (i, rad F Ltcn{ 1.0* ntr rlE rolh}ins rclwnr rsli 7t,ll 5
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<br />(todu.. ritrro ir! issuurc- its r.rlrirc\ Ih. sml(rnr itr \u.h ncrnxr h lilc , \igNd d0r B.( rhd hc d rhc ir ln na\l punu.r
<br />t. rlE pm!i1i,n( oi rtE conrerorr Liccnrn L.* lch0pt.rt), Conrm.mrn8 $ h s<ii,n 7o(rr or Dirhiun :1 of'hc Bu{n.\r tnd
<br />fmltsions ('o<L ) or lnd h. .r rlr is crcnq ll.tctoo sltl nrc hlris nn rhc olkrcd ctmPri,n. Any ri(,Ilrion ol S(lDn ?0.] I 5 b, y
<br />q'pli..nr litr !Itdir \utrc.hthc lnIli.lnr h)r.nilpcdrlryol ,r trxtrrrhli nvc htrtrdkdiollds(35(Xrl
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<br />d.f,Er orrlt troFnt. or mycmplotu! wilh varcs trs lhcn vnc .onrcn\!rt,i. rilttlo rll eork i.d rrx {u!o. N n
<br />ink lil or olftrcd ir eb lS.{ 7(!,1. Bu\inrs nnd ltotu\\n,n\ c(dc: Ttu Conlikktr's l-k.n{ ljs (\ not utply t, !i o{ hr ol
<br />rh. F{d! rh, t ilds d nrfn'v.{ rtrB( on sh, &{( \uch so* hrn(lr or h.r*ll or rh('ufh hn .r ncr own .mtk,yc6,
<br />roril.d rhlr .u.h iDnnn$rnr m nd intdtcrl d ofickd (r qk ll. hrs c\.r. th. td din8 or iqr.rmnt is v'll *iihin tu lrrolonlthrin rh. Owrhr ItuiLLT wrlltuvc rh! trd$ olFii'vin3 rhr lx ur fi. did mi t{'kl or 'qk^. rlr ,ioFiy ntr rh F,FE.f
<br />-1.
<br />!\ olncr of lhc pmp.ry- am ci.hsnlly .ont&ains *irfi licarn .ontmftE ro .a,n{tud rlE ln'Fr I SN ?l!4- Burim\r
<br />md h i\rin Cinlc: 1'h. Cofituttr1 l-i..n* l-r* di{r frr spplt k' ,n orR, of llloFn! *ls tu rlds or imnovc\ rh!rB,i,
<br />lnn who s'nrr.dr lm sun rr.F..-lr *iii ! (-onrRr{,ls, liua.d rurlu h rlE (i,nrtu.rd s l.i.N lrw)
<br />J:epra^It LE t Tltt -- (Y- L.t-L-
<br />!!a.B[llBlrl]!tr!!ulQli
<br />llI;!Irr.8,IIl!lN
<br />I krcnr rnnr undcr n nrlrv ol Iirltrry trr or rhc nn[,str'F,lRl rrtrff
<br />I huvc lxl *ill tuinrtri. { Ccnif(rr. of C.n*nr b Srll tf,ruft ftr rork6' (onlfin{ bn- $ Foridcd for hy Seri,o .17(Xl nr rhc
<br />lilu O'dc. (tr ih. Ffomtuc olih. $o fn whihrh. Fmi r nso.J
<br />I hiv.r.J *irl'u'nr.in roltcrr .on{Enuli,n in.unh.-c- $ rqut.rl
<br />rlF *ua r'{ $hxhrhtr rrmr '( nqld M} *orkcF' NnrlEnsri!. miurr
<br />hy SLrri.n l?(r0 ol rtc Lihl, C{'dc. fn rh. lf,rhrnrRc ul
<br />Ec(a'rEr! Fnitnu'nfuruc
<br />c,rf,r fiT,foqt cr4 C 04/G-r "d.? 4r44Et u?'
<br />/a(LJU b .5 to
<br />-l
<br />$ni! lhrr h lhc pc.l.r.ur-^c narrt eorl r,tr sh(h rhi\ p.ntrill\ r\trcd. ! \hrrl orrn'rhyrny
<br />q, r\rd h. nr \ohJcrrk,rh.*urk.6.onlF.nsron ln$\of(nlrr,trh'., ndl a8ry thd il I \h,u h(or !uh].\r ri' rli
<br />wr*cr( .' 'nlkn\urn,n !n'vnhn\ .l Sc.r k'o .17(xr o( rh. Uhtr (ixlc, I \tull nflh*nh drmpl, \ rrh rh){ pornirns
<br />W RNIN(; I.r'ltrr n, q.cu'r *ortcrL oitrisri(nr d,vcn+r i\ rnlr$,u|. r d \hrll subr.r i.r|bycr r, lrtnin,lF-.mli* and
<br />lincs ut b oN hofrlr.,l rlxr\rnJ douln (Sl(xl.(xx)), n idJ ,on h rh. cu{ i,r ronFn'.rn,n. d!.M8.1.\ prnild for ih.
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<br />r n)76., nr If,htr(irlr. tr (c{Lndrno'rr'{r(\
<br />zlel t7 \pphrn,: lar..Of lqt t "*t--"'t{*lifr.s*
<br />L.L-a-2,.--
<br />I hcrchyafirmundq pcrolryotpsrrryrhtr! l.n liL.nrd onds Flisinorchltrd9l(or r rnf wilh S.dhn Tu(t) r ot Dlvicn,n l
<br />of lhr Bu\ircs .nil Pnrrcsri,nr Cqrc, iffl my lEcn* i rn rull nn ! ord clTd
<br />+rt
<br />b eq ?lte
<br />tS/h..t -t q-y,t L lZeE t d 4 lt-fu\/frtt,
<br />!r.As-r.8r1r!Nt .Llur}1;-tgl!(r
<br />I hcrctly rlfirn unl.r ncnrhloftrrj!ry rtur ihct ir!.onnturi,n kntl'f,S ngckt ntr tla Frfonrrtuc oflhc *o.k lhr whith rhis Irnnir i\
<br />I .n,lci" Addrs.
<br />-
<br />AllLllnlfD[rilJrArsti
<br />I tlnt'y lflirhundrr p-trllry ul prryrtry oN ol rh! ll,h's$S (r!lir!rx'n\
<br />l).nmliri$ PonIr A\hno1 Norillcurnnr lj. crul RcIUlirn'n{ rlIlc.u,. Pd6r
<br />-Rcqur.d
<br />Ixnd ntM{ifrdnn
<br />-l
<br />(sifyth rhe rcdcnl e8!hri,N Egturring NtErnx rcn^,|,r. fr rprli.rhL lo lnn ImF._t
<br />_!ccrriliihlrIhuv.rcrdrhtrapplinrnrnrnl{!r.rhnrrh.ih,!cinlnrnuhtri\cordr l ulre t, coDnly wirh rll C r_rndCrunry
<br />odinlNc\ ad sr0r. u$s rl,xnE ro huildin! ..tr{fl.rirn, rd hrr.r'ynurlr,rc rclrcsnrurirc' olrnn Cny lnd Counry tr cnrd ul nil!
<br />.t v( nrnr inmd InFny ror iniFrrbn
<br />af +f /q-
<br />,\Dplaonl or .18mr Sitn{lun
<br />p"-,u**..,,,,* )oru0i ?e\
<br />ELECTBICAL.INSPECTOR HECOHD
<br />Fsucd(SR l|r?, crv C )
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