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DATE ID/SIG.COMMENTS
<br />Sile-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Satety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor )
<br />Bondino / Groundinq / UFER lol?,\D{YfrY:,
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners lt
<br />Roof Top Equipment lDrt+Y f
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Solf it Rouoh
<br />Ceilinqs (T-Bar Rouoh)-l r
<br />Meter Belease 5\r\0\21 $w*Y7
<br />Rouqh
<br />Service lvleter
<br />FINAL U tDA+-t 7
<br />Notes, Remarks, Etc !
<br />--)
<br />,.r",rd.d - "fi1
<br />-,., ' 3
<br />o",., ' 6
<br />:( ediryrh.r I
<br />K
<br />I
<br />'WNFJR
<br />BUI I-DER DI]LCAI'A'NON
<br />Ftulryofr.lrryrhrrIrncx.ll,nurrh.(dnrrro^ l-iccn\c llu kn rh{,,,11,,* S r.r{,n (S..7l}ll 1
<br />lcsion Codc): Any Cny or Counly whi:h rquircr a rEnni h Lrnnfl.r, ahd, ir{,tuw, dcnrlnh or EI'!n rny
<br />ixsu.ke, fio Equiftr rh. appli.dr rd su.hFmd ir' rikd 1i8kn (.'cftnt llur,ror {E n liccnql pu^u$r
<br />rlE Cortucrol! Li.€nscn L.* (Cluflcr 9. Conm Br e h s..r$n 7llx) ul Drvrtun ] of rh. 8ulirc$ lnd
<br />or ihsr ls r rh. ir.rcfrpr rhdli.m rd rh. busr li. rhc .lL8!d crcr{rion A.y vhhrion of S.{iion 70.} l t r,y rny
<br />subi{t! rlE applicanr lo . civil F.nllry of ml n$E thu fivr hlnjrd dollrr (55m)
<br />rhe pn,Fny. or nry dtrDk,frs *irh srg.s.r rhrn y'k.on{Enurk,., silld' th $dk mlrll {rr@ i r{
<br />ror sL (Sd.7ol4, BusiEs ud P,lf.siotrs Codc TIE Conteror's li..nt lr* rtx. n ry'r,l, ro .n ovEr ol
<br />ofuipoB tlrNc arn wh do.. uh srt himclt or tEr{lf or ihnr8h hn d ltr ow. .'rFk,Fr.
<br />nlln,kftnts ft d imc.d.d ur uilad rd qL lL h.w. th. bo 'lff r qnwn. ic s,U *nth oE F&
<br />A! l.. wil IEE tlE h!d.n ofFovins Elltorn*dild,hddr,lrin*ttlEtmtdytu E FirF)eof
<br />IrDpsiy. dcrclxsikly.otudi.8 rnh lE..n cotudoG ro rrnrruLl llE tmFd (Sa. 704,r. B6ira!
<br />TIE Conkrroar Lkcns l,w dGr mt .{,ply ro u osM or p.oFd, wtb buldr or mlroEr rh.rs..
<br />ror skh Foj.dr wirh. c.ddo(s) la.hrd ltisM ro lh. Conl8td'r Ltcns L.rl
<br />ltaa$!x5:rl]ut!:!itars!
<br />DEIIIAAIII)TI
<br />JEnalry or FlJury om of OE rolk,*i.8 &{bruion!
<br />oi.hh. Cdif.d. of Cornr b S.ll-l'sr fc Ert6 ery.B.rfir. a FlviLrl to. by s<rnn ]7m olor.Flb.llre or rli E* fd *tih {r pd n ii.'!t.
<br />, .h worl.6 mrF.ns.lbn i.suEEc. n Equircn bysrtioo:17(0 olrrE tid c{xL, for EFldllINol
<br />th! Fmi t t$.d- My wortsi otrpctrtdion itronr cdit r,n pohy.unih.r e
<br />\BGTTY
<br />i1- cqo - qq rt ?? - ct c)r-l"r let
<br />E Fdormm oI E $o fG whth thi Fnn n iliEn- I lhll d, .i9rt, my FR)n '. ey nu6
<br />ro rlE *qt6 orp.netbn Ler a, C.lafomi{ ,n +e lh{ if I {ruld hNm ruha-t lo llE
<br />ion pDrisbtri ols..rion IID 6r ih. lrtn C.&, I {BIL rdhrnh mqrly wi't rh,. ImvNinr
<br />E ro @ md6 6mp.ni.n own8c R unhwtul..d rh.il tubF.r u dtpbF ti didni Frras !n
<br />E hudr.d dous.,n dolrB ltlm.@o). in idilhn ro rlE cor of conrrMrioh. drmSd a pmviLd tor
<br />'h.
<br />ITSENT4CONII^Str)f,
<br />DECTIBAIII,JI
<br />Fox, ot p.Ury rh! I m lii...a ,,,a.. p""iti* .r Crr.pr- r (.I,llmL.-ins s{h S..rin 'l(,I)Olof Divir-rn l
<br />PrelesioB C6&. ,n my ltdE t in tull t6r 6t .ller
<br />4-ro < -{ (:
<br />r.iccn\r Numrtr ' o -{ 5<-lre1
<br />!u,rfaya..)
<br />catsullcuo!.tl;Nl]lrclqDN1lr
<br />Fnahy ot ncrFry rhar rhc6 i\ a con{Mr r LndirsrS.myf th. Fn.rlre. nl ttE *ort iorlhihrhincrmir i
<br />Civ. C )
<br />APILICANLIECLAAAIruN
<br />p.nalry.f prrjury onc of ihc h,lklwing du.lddiors:
<br />AsbrslosNorincdionltdcrrl Rqululi,ns(1irb40. l'un6)
<br />h. li{cral rc8uhtions EBdinS .sb.$os nmvrl orc trot rpllt lc lo rhh rlmF..'r
<br />rcldrhi\rppl'.nrn,nnl rrcrhrrrhcnh)v. tr,lnnn trm trorc(r lrSier'.oDl'ly{ hrll(ilydo'l(i)uDry
<br />h, JUrlxtrrc rrp.wnnrnc\.1 rhn( yrtrtl(i)unryr,'.trrr ut rl.
<br />ca{\, o...J D Ff(SS<,,
<br />3l3rlzl
<br />ELECTRICAL-INSPECTOR R
<br />APPROVALS
<br />Transformers
<br />"lw\7,l
<br />Curr !
<br />Ki ?l
<br />JO
<br />IT
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