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APPROVALS DATE ID/SIG.COMMENTS OrE-BriliLr D..lmrhn
<br />I lEr.hv.lii n und.. p.dlty oa o.rJu.r r|Ir l .n .r.nF lorh rlE co ndor- l-@r. L* lor rh. fo&*rhs dlnn (.( ror l 5 Bu!in6.
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<br />$llionl l.rcilil p.uhroami mr.
<br />'h..
<br />fi!. hundr.d doll.s(lttro)
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<br />{ho b{i& or in,'.orB 1h66.. .nd uho do6 nEh *.r[ himrll o. hdr.ra or rh.oush hi! Di h.r own .nploy.d. prova.d thrt uch
<br />inpm!.n.mr !c nd inr.id.d o. ofidcd ror !.k l( how.v(. rlE buildins or iryov.n. ir $ld wirhin o* ydr oacompl.tion. rlE
<br />O*F.Buikld*ill h.t!li.hrd..orprolin* ln ! n or3h..olbuildornrpr.r.,.rth.purro*orqlc)
<br />_1. a owc of rh. ,ropdy. .m .r.h$r.ly c..t.dro3 wirh li..6.d.onrBchR lo.oNt.u.r lh. proj.cl ( S( 704,4, a6in6i.rd
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<br />6nt d.for $(h piotdr rnh i Coiti.ro(, I'c..!.d putrunr r. ih.Conrrdori l-r..s tre I
<br />I a'..i.mnr trtrd.r S.(rnn
<br />woRKERS COMPTNSA ON Df(',ltRA l.loN
<br />I hr.l1y rlt,r und.r n.mhv orn.'irv.n. orrh. nnlorin(.ldlrrllbnr
<br />I h.v..nd willdinl'in s C.n ific.r..a CotEd ro S.ll-lBU,.lor mrl6'omr.mnoh, rs rrovd.d for by sarbn ]70o olrh.
<br />l,to. Cod.. t rllr rErfom.r. olllE uorl for whkh dE p.rnn i! i!{.d
<br />I hne.rnd w,llnE'nrln *orlc. rq|Utr.dbyS(tontTrxrofihrlrtxtr(id..lorrhrp{rlornrn.cnrrh.
<br />worl tu rhah rhn p.nnn is ino.d lLh *o,lor' comp.nrir on fi!,in.. c.trr.r lnd Fn'cv nunrtE .,.
<br />Ii,ln.s
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<br />h t Bstr.d,l illnor opby !n, p6o. in.ny nrnnd$ iiro
<br />rnd lrrr lhd lfl lhould fi<on,. lutrkr ro rh. worl.B'
<br />ll. aonhwnh comnry *nn lhos.rrovisio.i
<br />DalrulLWfzOelw,,-
<br />wAf,NlN(; Frnur. ro Ku. so,t6 6mp.B.rioa covd.s. r! unl.wful, rnd rhall lubj.cl & .f,ploE io c,nriul p.uh k! .nd .n il
<br />fiH ut'l. on. h!.dr.d rhou$tn do[.n (lloo.lxn],i. rddnion l.
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<br />con orcomp.n! inn.d.m.B.! uprolid.d lo. rh. S..li.n 1076ol
<br />rh.llh6rC.d., inr6$r rnd !fitra ' 16
<br />LII:EIIEDI.AIIXACIAf,f,PI!:I48AI,I0!
<br />I hn br.mm undd p.nrlr! ofFriury rtir t rd li..nicd undn portior ofCtupr.r I (codm..cinr *th s(ion 7fir0) olDnni.n 1.1
<br />rh. Auirss.nd Pr.I6shft( od.,,.d m ti..... k in rull fnt.. ind.fl(t
<br />:,..*,,^.. e-to r.r*\unhd 9Utt,7.D.!. loltc/r t .-,,""- t)aqn? l/4Eoezu.<.
<br />/ APPLICAN']'S DICLARA'II(II\
<br />I!16h'.n fdnnrr^shc{.s r,r.(rli(d'nn I'.d.,ilR.(trldnN ( I ik r Prn ^)7 R.qutr.d I.rr.r nrN"!'fi..r-n
<br />#*x,
<br />h. fid.6lr.Sul.lhns q.rdln8 r3b6lo. rm\rlr. ,.noli(rbk r. rhs ror.{!
<br />rndnrrcrh.rrh..tFr.inf.mrrhn Fcor.cr li3rero.odplyqnhrllCnyrndcouiry
<br />'n!..nnru.r'on. rnd h.rch\ mrhor'7.rcn'.s.nran\.\ofrl,r( 'r\ rnd liu vrr. .rr|(r.rlr
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torquing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (T-Bar Rough)
<br />It4eter Release
<br />x
<br />Rough
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc
<br />\
<br />ELECTRICAL.INSPECTOR RECORD
<br />I
<br />I
<br />I
<br />I
<br />II
<br />I
<br />I I
<br />I
<br />I I
<br />I
<br />I
<br />Ceilings (Hard & Soffit Rough
<br />I I
<br />I
<br />I
<br />I
<br />II
<br />I I
<br />' -/'t I \C
<br />(olstBulrolrtlolxc-dcElc-Y
<br />I h.r.b,.m.m u.d6 p€nrhr ol rdjury ih{l lh.rc is r coBrrucrion l.din3 t.*r tu rh. p.rfomnc. of rh. tro! for rhEh lhii Fh n
<br />*:r.d(s( 1097.( iv cl
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