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APPROVALS DATE ID/SIG.COMMENTS O$NF.R TUILDEX DEI,C'ARATTON
<br />I hcftby nflrn undr FMliy or p.rj!ry lh,l I m .rrnl)l ltun llE Con'Elffi Licne l,* nn th folh*ht E.!. 156 TOl l 5
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<br />!mlt. nn r F mir rutFtr rlE .pl'lE.nr ro . .ril pcdhy of mr mcrh$ livr h!.dr.d drlld. I lJfil)
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<br />th. |nrFry wlr triE 6 irFN dEq.. .rn *b dF sn w fii'rlro' lEmlf ., rlmuth hh or lE om.nploysi,
<br />ptuvid.d rhd skh "qn\aEnk e d h'oJd or off.rn ror sl. lt hoE6. tlr trildinr or inpmEr, ! $U *irhi. om Fu
<br />oaqrTLliE tlt O*E BuitLr wi! IEE ,r hhlcn of tD\rns dtr lt d {r dn d, h,i! d ,nimE dE FDId, nr llE ,rrFr of
<br />_1, !r o$Er ol rlr F'Itnr- dcrclu\iklycodrRrin! *irh lr.6d co.rddo6 b.onrlNcl lhc Frolccl (Sa. 7()lJ- B!\ires
<br />!d ln)brsin CRk Th. aontr(ktr { Li..n€ L.v der mr +pl, r' s o*rc. ot preFnr" *lp hilJr o' impNwr rh.r6tr.
<br />.nd *h, Ln.rrr-lsl sEh rmj.!1r *irn ! codrrcro(sr lirnsn ru6ulnr ro rh. cltr{reirr'r Lirn* tl})
<br />_l !ncrcn'F utr,.r ssrbn-
<br />lralr trrEr
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<br />IETLIEAIII}i
<br />I h.rchy,ilnnrundcr lxtrrhtofFrlurt.trc Irh( n,lhr S dNl !ri(ntr
<br />_l hrk di Bill tuinrro ! Cdifrrr. of Co.*nr ro S.lr.l.slrc fi, wk6a d,hlEnsri'n. $ pmvitn fin ht Sdnrn J700 ol th.
<br />l:En Cdc. tu rhc Ff.trnu. ol ih. rorl IM eni.h rlt Fnn i! i$u.n
<br />-l h!rc ond ' ill trrir rin wor kcN (ompcn{d n n iNurorcc. r{ r.rtuircd hy s(r i'n .l7ix, ol rrt tltr{ (I)&, for (lr F
<br />rrE sork ftn *hi.hrhn Fn 'r
<br />nqd Myrdl(i oiqEflsrx'n io{urea.uiq '"dr,li, inn*rr e
<br />.-", ilAcrforPo flxq r"n fs
<br />p,,,"rN,,,,., qUIEAQfqST{f
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<br />-l.cnify
<br />rhrr in lh. FnormL! of l,E *ork ttr *hah rhis Frtu' r irsEd, I dEll Lr.rit,y.ny FB'n 'n.n, tMFr
<br />$ a! b b.$ft ilhFr b rlE x1r16 €ntEnr{ i,n h*r oa Cdlifdnri.. dnd [!N lhul il I $ould tE{orE slhFr ro rtr
<br />workc( on{rn{rbn lhviridns rt sdb. .17tx).r rh. litrtr (in . l rlEll nnh[nn $q,ly $irh ibE rmvirhfi
<br />xrn, u r,toiur r' * l,"i"r)i1:":r
<br />i,( (lanB!c\ r\ pnniJ.d ntr rh.
<br />I h.drt !flirn lds IEElryolFrjort lhd I rf, lirnrri unLr |n)riri'n of (hpr6 9 (mnrmmin8 *ilh Sctlln 7(Xll) or l)irtir l
<br />nl thc Bu\irEs ond Pn,lc$ionr C.dr. ui my lk.nr ir ir rnll tnkr uJ cild
<br />Iffiroftta I tCoq,l 3 rr
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<br />SIIIIBIJIIIIEi.LEIDIIIi.ACEICI
<br />I hcrby rfirm und.i FnlhrofF.rj!ry rhll lh.rc Ls. onrlrudhn L ins rscNy for llr pslblrru. or rh. *dl tor rhah rhii Fnil k
<br />nrEnrs& l!{r97 ci! c t
<br />lridd r Nam'-
<br />AITLI!]ANLIIECIASAIION
<br />I h!d,,fm ullcr Fnrlly of FrJtiry om of rn folk,r in8 (hrdrrn\
<br />Dcmlili,n lcrmils A\t({or Norifir i,n F.d.trl Rllulnii'nr (Tirk 41), Pd6r
<br />Rcquncd lrrs.r Norrarcarir
<br />,l L d 'ly rhxr ,h. l.d.r sl ft8ollrFnr ^8d'n8 asltqor rcm\alJrc tr rrnnLuhhL'th*rmi\r
<br />ffts''9,n, , "r"., 'nr
<br />lmrrdnn ltn nurc rhd rhc 'h'vc intx'urin n.otur I lsft b con{ y wirh rll ciry!d (lunrr
<br />nri rN5 rnd sr.r. Lr*i ELtirE h t{ruhs oNdrr .!n lEEby aurhxirc aF.<liniB of rhir ciry 1d Gru yro.rrduF,n E
<br />rhr. Nnrr!f,(r p,oPtn! n, hlrrtr,n
<br />,lprliotrr orAtrnr SiaMruR
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<br />ru,,*fi' (tt) t 7018
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Solfit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh 5Z t/B t.Vt lr+-v14{
<br />Service Meter
<br />FINAL Vl,>/ts c v1 LLen el
<br />Notes, Remarks, Etc.
<br />ELECTRICAL-INSPECTOR RECORD
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