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APPROVALS DATE ID/SIG.COMMENTS
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor I /z/
<br />Bondinq / Groundino / UFER 5/7D(q@.@ ,.U
<br />Transformers tl
<br />Torqueinq
<br />Sub-Panels I
<br />Air Conditioners lc *
<br />th/z/ZRoof Top Equipmentk X4|>///)t 'adit
<br />Factory Wired Unit /
<br />Walls (Conduit) t
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilinqs (T-Bar Rouqh)ot*HdMeter Release c-///Y Wgwril
<br />Rouqh {
<br />Service Meter
<br />- -/-
<br />FINAL bn/2/tzzta W-
<br />Notes, Remarks, Etc
<br />.rr n *'J
<br />!
<br />*.t;,1
<br />"",*1
<br />::
<br />=,*c
<br />fl:T
<br />OWI{8I IUILDEI DEI{ RATION
<br />Fd!, ol Frliry rh.r I I.rqn rDd tu C.,rd6 li.M L.w for llE lolh*ht lrun (sdmll t
<br />Cod.) Any Cny or CNdy *hi.h .GluiB a Foi h coid.Er. 1116. nr{tbE. 4mlin or r.Fn E}
<br />rrs issuRr, lle equtc!rhc q,pli.er ritr rh Fmir lo fi|. r irsrcd st|tcmnr rhrrh.or d! ir lictu.rl ljurlu|nr
<br />of lhc Conrrrn r Liccnsn Lrw (Chrpr$ ,. C{,frmn.ing rrrh sccrid 7m0 of Divnion :l of ln. Bu.incs rd
<br />)o,thar tf,orrhc ncrcmpr lhmfro undrh.h.\n for Ihc rlks.d ux.q)lio. Anyvi.llri,nolsdi,n7031.5byuny
<br />subtrk rlE tFtltur to ! civil t !yof ml me th.n liv. hlidd doll,r! ($m)
<br />ih. ProJrd,, or m, cn{,hy(5 snt }136 6 r&n 3b @qEnd io.. will .b llE wl rii llE (.EtE 6 Fr
<br />ttr !b (S€ 7Or4. AuriB .nd Pmrdr.tu c.d. Th. Co.uNmi li!trE U* {tEs d, .|?ly ro oeEof
<br />hoiU3 or urF,6 ilEor snd *in &B ruh kit hin*lf or lErclr o. tlNuri ti o. L. oIn .tq,lolc!.
<br />trnFoEmdi @ nn hEd.d or oniEn i, sL lf. tnMB. rlE tlitlins oI nilmEm n(,!f,irhirorcrt
<br />O*rcr Builit will hlw rlt tiId.n or Euling rhr tt or slE dil mr tu'tl or nryot 0r ptr,Fny [., rrx pnrlDc of
<br />rh. FoFny. !m c.lusiwly odr&ring wirfi liftN.n coturrM b doniM dE ImFl (SN 70.l.. BuiEas
<br />'rh. Co.rEttr 3 Ltce Liw d6 ml .pply lo u o,Br {r FoFn, wlb bril4 or ii{,reEr tlE@n.
<br />r ,or uh F.i{r *nh r C.Mo(r) IaINrl pu,\]d ro lh. Co rard\ Ltfr tr*l
<br />ITO}f,ET{IOMIjNSA.IIAN
<br />IIEII.AIAIIqN
<br />,EMxy or,ErDry oft olrlE nrlh*irt &rllIrtiotrr
<br />ll miflin r C.dfrd. otcoK.r ro <.l.(N ror wrls q,qrn!.lion, r FovrLrl ft hySdrb.l?mof rlE
<br />psa(ljlrer .f rh. *orl for
<br />",nf,h
<br />dE Fnlr a srkn
<br />uinuirtrorl(c^.on,Ii.n\rrn'ni'rura'f,.,tr\ rLnuircd hySccrir 3T(x)olthc ljtxn('(ic.ld rh. P.rfortu*rol
<br />fi n i!!ucd. M, woltd omD.ndion insw co
<br />le7(L.L ir \',it t'. r rs ., --,11"
<br />,>z-
<br />h rlr psrortu(r or rh. mrt ror whih
<br />'hn Frm' is issEd- I rh.ll mr .rpby sy FMi
<br />ro E urtac on{Ension h,t ol Cllirofri& ,n .gE rh! ir I sln!5 b..om rubFl l.llE
<br />kJnf!)vtr! NUr s.cli(in:l?Ulol rlr l:li (iih,I \hllL n{rh*'rh('trnfl!_ $nhrtr,{ nn)ranna
<br />ro s@ *orl.^ rbnF.sion d'v.ng. ir !trbNtul. !,j ihlll lubr.l o cfiploF ro siniid F xi6 un
<br />oF hudrol rhoroad dolhr (llm.0x)r, in .ddnion to rlr co( o, orr{xtrerion, d.mr{ a FDvidcn lor rlE
<br />'"J'"85<-
<br />LI!.!.iI}:!llr!I&(IAB!!rL$aIrl)N
<br />pcnilryol F.Ju.y thrt I am licetrf{ undcr pnrvnionorChdlrd9(.o ntncin8 wirh Sccl i'n 70(10) of Divnion :1
<br />Md Ptufcs\t F (\d., n nryli.cn* $ tutull ltN un efi\--i
<br />yo*(.(<t Lw-6_[
<br />+
<br />(:()NS TRU( ',t',roN LENDTNC A{:trN( V
<br />,.trrlrrof|{ryryrhrrlhcrci\!.otrnrurri).lnd'n[r8c'kvntrrltFnnnrutucolrltrorlhtr$h'.hrhi\Fntritr
<br />Ci! C)
<br />APPI IC NT NECLAI{A ION
<br />F lryolll(rtiryo cotrh.tulk,wih3 ..hr ruh
<br />Arlt{,tr Nollr.Jri'r fLdcral R.tuhrtr{tr ( lirlc ll). I'Jn()r
<br />E f.&nlrc8tL'r'B EegdinS &itE{or E.Dvd m r, q,plarhL tr rhir 0mF<
<br />hlkEdihE rldirri,nand i.tcrhlr tlEuh'vc inthmrion ir (oft.r I sgrc u omply rirh lll Ciry tnd Courry
<br />tiqsrLii'U:n) rldrnAconsrucrirnr, Jrrllkrcbyrulhorn.-_pR\rnrrr'vc\of
<br />_2c4 Lan&/a!.::i4ii&.
<br />ORDELECTRICAL-INSPECTOR R
<br />Site-Work
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