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APPROVALS DATE ID/SIG.COMMENTS OWNER BTIILI'ER DI'I,('ARATION
<br />I hcGhy affrn lndq rdh, ot Fltry rhd I d.rcnq lmm rhc (oitdnm l-i.nr u$ ro h. rol}*intu$.lS(n)1lll
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<br />rrnriurc. Imr lo nr isuft. .le EgunB rlE q'pltsr n, u_h Fmn 'o
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<br />hofc*hn! (in r n rh.r lr ( !|r n .r.rpr rls.fmn rn rlE llrn for rlE dt8cd crcmi bn Ary vi.krhn o, Serlhn 7l).l l I bt M,
<br />{'tli.rnr ft, !Fnn rur,irk lli +plk. n,rcirillcBl'yolld m,artui 6v. hurd,ld Lldlra(15(mr
<br />-1.
<br />!s o*rcr oI lh pmtErly- (r my cr@loyrr snh wr8c. us lh.n $b rnnFnsl hn. uill dr rlE si,t itd rlt ntiE i mr
<br />intcd.n oron Ed ftr {k lSe 7(ll,1, Bx\ids md fi,t6{im C{ib TIE 6dmrtr ! Lift l,* &x d, {lply ro u oeffi of
<br />Itt FnFn, *h' ttrit& r lltIFB tllch. .td *ho d.6 q h sit hio*lf or trElf or rtmu3t hn tr lrr oqn cq'Lyccr,
<br />,n,rilcd 'hlr
<br />*h i'ntn mnh e d irdd.n ordk fq qL lt h'Es. tlE bildiry or inln'rno' is nU wnhi. oN Ftuolsnphrin tlE Owtur Builld will h,!r rh. hod.n olpmine rhd E or dr dil Nn tuih or itr{mE E |itrtEiy nn rE IrrIrE ol
<br />-l.
<br />ro$mrorrrE lnlttnt, im.r.lu.ivclt codalinr $irh li.cnxn codrad,B ro.\rn{Mr rlF F*{ (S( 7041. Bu\iftir
<br />rnd tt!6riinCodc Tn ('od cror. Liccn- Lrr &f,r e{ .A'ly !. .. os,n.. of pr,Fny uho buird\ or nnDmv.i rtrcrcnn.
<br />.nd $h6 .onr rr ld {.h F iir\ *iih ! Ornitur.'d n liccn{d l,tFunr h rh. (irtackr'r Li...r ljw )
<br />I r r(n,pr un,lcr S.crknr
<br />D.t. ()rer
<br />woq l(l ds' aoNr Pilrs^ a()N
<br />IIEIj.AEAIIAN
<br />I h.khttrnirnr iJ.rf.ntrlrrollirlrtoft olih.fi,ll)trrSJNl,rrrktn(
<br />I ha\r 3,n $ ill nEininn r (id iti.ic oa CDn{.r h S.li Insur. nr e.r[.B coryrnv] tnr. a\ Ilfl id.d htr hy Sc.ri(n lTOr or rh.
<br />I j&r Gn.. rd lh. IE,fonlu. .f rlE wnk tu r'hih rh. p.rn n tsu.n
<br />lh'r.3n,ls,ll L trrn *.rkd!.on'F-n\rr()n nur.nx. J\ rrqu .J hl s..rnn lTrrrorrlr lrhn (irl.. lnr rh.Frnrnr'h.-ror
<br />a',.", - 4 IErnt r tsErr. I\!, uort6 dnrFnqri,. in\ur,r. cmkr dn Jbli., nunt r r.
<br />WettltUl,t4,
<br />,..,.- n-"*. -\y'L;ffi b o\3 tr^ot-- 11
<br />-l
<br />cdiry rhlr in rlE p.rrhrmr. orrlr sork ror *hih thn Fnnir t trued. I $all Ul cnlPLy lny ncrqrn in ony m8nar
<br />y! .! ro ltdrnE \ubj.rr h rh. wortcr'dmn nldn,n b*\ otcrliturni. bd r3r rhd irI rhru tEom bjdrinrrE
<br />{ lllrq' convrn{rnrn l,n'vhionr of Saln,n .17(10 u( rh. I ihr C, c. I \lEtl. todh{ nh .o'rp,y *irh rt . ptuvnioN
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<br />lin.c up r0 oft hnfrlBl rtr,urn{ d.llur t!l(Xr.{XtD, r..o! or comFnerion. dlm8 s !t lmiH nr rh
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<br />TIlAAII9]
<br />I lEEt'! tlttm undd F xy of lErlry rh{ l.m liu<J ud.r |n*iq,n of Ch.Fd e (omnrmin! *ilh Seti'n ?Uxr) ol Divhi)o l
<br />of rh. au.mr( rd Pmf.srirm Cod., .d my lkrnr i\ in flll ftrN lrl.lltut
<br />I hrbya,ltmu cryEulnudrse lDl.cn ( )
<br />(arslxl.rIll)lL}.lrDlillrr(r
<br />\ !f tr,tu'r rh.tr rtf,,. tr r.!r\rn!ritr' [.rL'trr !urv tu' rh F,l{nnLtrkc,n rlr $ork 1,tr *h'.h rhtr tRnni N
<br />l(d'ftrh rhc f.ddal rcgol.rh,ns rg:mng r\tr.<or Enrrlrrc 'x{ rnllrlhk n, rhF rh)F1
<br />--r.cn![,hr IrEvcrcJdrhrlnpli i,nad{.!crllll rh.!h,t rnntr.rli,{r i!.onlrr llsraroconlllly$irhrliC yrnd(tntrry
<br />*;:::i*r,,[ry
<br />d her.hv du r{.c cp,.{n 0 y",,*,,_
<br />V));yii,"Arglldnr d Armr \hrErora2 ?
<br />P.frh*tuD?iprin, : Z)-E I i,f /71oa d a.
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />fuas, Pool, Fountains
<br />Signs (monument)
<br />Lile Satety /Low Voltage
<br />Fire Alarm / Dampers
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFEFI
<br />Sub-Panels
<br />Air Conditioners
<br />Roof To Equipment
<br />Factor Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soflit Rouoh
<br />Cqtlings (T-Bar Rough)
<br />Meter Release
<br />Flough //--b-l ?
<br />^Ard,b)Service Meter
<br />FINAL l/-L-19 Dd/o1
<br />Notes, Remarks, Etc
<br />ELECTRICAL-INSPECTOR BECORD
<br /> Pfl ICTNTDECI IRAN(T
<br />I lEtt'yltrmu.d.r F ty rl Frrury or of rlE nnh$'n8 d.rht.l anr
<br />Ihmhrion Pam rArb.{ol N)rif.drr Frl.hl Rc8rbraNl'Iirk 4t). Pd6,
<br />-R.run.d
<br />Lcrt., of N.rrfEari)n
<br />Communications Cable
<br />Translormers
<br />Torqueinq
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