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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lite Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Bonding / Grpffi-naiiig / UFER ,5;zl'zt (LLt9 N"bg -7n
<br />I ranstormers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Sotlit Rouqh
<br />Ceilinos (T-Bar Rouqh)
<br />Meler Release .f'Zt'zr ILLZ,'7
<br />Bough
<br />Service lvleter
<br />FINAL 5-2t-zt tLL tS a, t k> -Zrl
<br />Notes, Remarks, Etc.
<br />;; "J
<br />-. l
<br />L"r* c.ad
<br />AxA
<br />.--_l
<br />,r.rn"l
<br />;.dJ
<br />,r," J.
<br />OWNTJR BUILDEN DELCARAIION
<br />uiJcr p.nllry ol Frru.y rh.r I m cr.mpt lioD rhc abnt[l.$ Liccn\c lrw f rhc f(,lb*in! r.rvn (Sm70.11t
<br />l,mfc$ion Codc): An, Ciry or County shich rcqltcs s Fmn ru cdn{ru.r. lxd. inrrnvc. d.mlhh or EFn uny
<br />16 ir\ i\\ne.. aho rnuir.s rh.,pplia.r ror s!.h Fm r b nt r si8rcd srllcmnt thor l.oi dr n licnEd ruuu{,
<br />of rlE contr&roas LiccnEd Ls* (ch.rrcr 9, commirs *irh sdkn 7m) of Divnhn I of rtF au,iEs ad
<br />) or rhd h. o. sh. is .xcmpr rtmfiom .nd ttF b.sB f.r rh. .lk8.d cxctrrption. Any violalhn of Sconn 70] I 5 h, .ny
<br />IEm t.ubiclu ttE llplicont lo acivilpcnullyoffr,r nne rhr nvc hundrcd d.llrr ls5fl))
<br />ot rrr ptuFny. or oy .rpklF.s wirh *dgcr ar rh.n $k .onFnsr.n. will do tlE *nI !d l,r {ME ! mt
<br />ror sL {se.?(x,{, Blsimss nld PrefcsioB CqL: TIE Contncroi r l-tcns l,e d{rs .or q,ply ro M o**r dt
<br />t ilds or i,tmEs rtso( lld elb &s h $slt hinscll or ,Ercll or rlmugh hn or ,xr own .ng't,Fcs.
<br />irrymErnB a mr hEndcd $o,Icrd for sL l[ h)wEr. ilE taiEiia or irv$kmnr k$B*irhro* F!(rmr Euilds will h.E dE h(bo of I'olins rhd lt or rh. dd mt tliU or inIrcE tlE FoFly lbr llr putmr of
<br />of E FoFny, am.rcl*rEl, conldirr *irh li.trEd.onr[rD6 to @nsrBr ih. rrtrF ls6. 7o,u. a6ilB
<br />Cod.: Th. Conrdro,'! Lt.n* L,w d* mi +ply ro 4o*M of rmFny {rs buildt or iiprcrcr lhdon.
<br />\ ntr ru.h pmF_r1r[h o Conhcbnn lren{d 0tr(ltrt I(,rh. Contr.ttr \ l-r..{ li*)
<br />u.dq Sftri'n .B &PC for rh$ rc.so.
<br />OlE.
<br />lrcBf,E&L!:rrllflastra!DICIJIAIII}!
<br />undn p.Mhy of FJUry om of ihc folbp68 d..lar.r ions
<br />*illBmr'i! a C.nifrrt orcoM ro sdr.l6m rd wnt6 snrEMi.'a a FDviLd for b, Sclbi l70O of llE
<br />thc Floruc o, ilx *rr 6r *hth rl. Fmr a i<ad
<br />'ll mi.r.il *orlcR 6n{En rhn ituuEmq $ Eaun.n hy S.{ton 3?(I) olirr lrtor Cdr.. for rh. FfiJm. or
<br />h rht Fmi n i!s!d. My vort6 orp.6.rbr iNr.E cutr.,n Inky nlnbs E
<br />h Anc./lCAnr-,* (o/",,t/z
<br />io rlE FrlorEr of rh€ $o* for whin rhn Fmir r irst d. I srEu ft c'{thy rn, Fmn in r., MEr
<br />iubFi ro rlE rsi6 or4.Ma'n Lw3 or Crfo,u lrl .9r.. lhd ir I nDu! tEor otFl ro tl!
<br />a'n ps*bs of Sdi,n l7m of E ribor Codc- I {dt fo.ihwirh orply,irh rlr,- FDri'bnr
<br />lo M qsrtcr' on{E6rrh. oEngc i onL*tu|, a.d \nil \!bFr e .npk,y.r ro oBirl FdB iln
<br />ro orc hurdErl rhouid dollr^ (5100.000r, in lddnio. ro trE oi ol otrpc.slkn. d.nq.! .r [rcviLd fm 0r
<br />rl& tilr, Gxr., er.Ec rnd dlmy r fftr
<br />AppU@L-
<br />UCEUIED.COII3A.SI!'B
<br />IECUXAIIIIB
<br />undcr FNhy of Fdury th,l I u liuxd un&r Fovtion of Chaflc 9 ronmkin8 *iih sdl Dn ?m0| or D'v$ir l
<br />.fi1 PDfssionr Co&..d my li.nr is in frrll fora rn.llcr
<br />Lk)k{Ktq
<br />l2 )t
<br />CANiIBIIJ1A IEIiDIIIj.AIiENCI
<br />undcr lrnllty of pcrju.y
<br />'hd llsc is ! oi{d.rbn lcBlins escmy rd rh. FftnMfr. tf rhc sorr lttr shEh rh^ Fmd N
<br />AIIUCAILDEILAAAUO!
<br />Fnalry oI Frlur, otu of rhc follo*ing d..ll.d ions
<br />Arb.io! N.rifics'ion tu rd Rc8ulIions (Tnb 40. Pd6)
<br />rh. tcdcdlrcguLrD.s rc8ddin8 asbc$os rcnxrvrl de nol4llicahle ro lhN rrnrjcr
<br />I hrtr rcud rhi\ lrplicJrnrnui \krcrhJr rhcrh)vc i',innturtr,n isrom.r IrBret).onrflys hrllCiryrndC utrry
<br />,Jd hcrcby sxrhorih dprcsc iiNca.l
<br />'1lt
<br />lhir Cny lnd County lo ctrls utDn llE
<br />,.,,3lPJzl
<br />CORDELECTRICAL.INSPECTOR
<br />Under Slab / Floor
<br />I
<br />L.ndf .Ad}$ _
<br />II
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