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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Rough
<br />Service ltrleter
<br />FINAL t /?/-w tlK (IPrti\
<br />Notes, Remarks, Etc
<br />I
<br />(,WNEN BUII-DER DEI,CARATION
<br />I l*Eby !firm undd Fu,ry t,f p.,ju,y rhlr I m crrfl rn'm rh. Co.rrcro6 l-k{.{ Ilr ro. $. Lllovin8 rcos,. (S.< 70.11 5
<br />A(i.ers rn Protussirn CdLr Any Ciry ur (i,u.ry shih r.qufti r Fnit ro onrrud. !lts, inpror!- rLff,li.h u, EfEn rn,
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<br />ro rlr FortaB of ttr Conrmnr r LK.nrd lrr (Chspr., 9. GrllmNr8 *nh Salion ?m0 of Divirin.l ot rlE B!nk( rrd
<br />Prcf.ssbns Cod.) o. rhlr rEd rlE ir.rsr{,r llmrmm.,n rlE tre.lhr tlE ihr.d.rent{irn Any rkJl,rion ol Sd ion Tol l 5 hy.ny
<br />r0plt.nr for r Fmn ruhj.rh rlE tl'plioflr t, . dvilF hyolr,r nrrih.n lirc hunlrn dolls(l5mr
<br />_t. !r owd otrlr FlFdy. (, ny.npbFr wi'h n8d s.t n $b strp.ns.lbn. vil d,lh,trt !d ft rtu1E ir t{
<br />ifl.i'd.d tr ofi.rd f, .b (Sc ,olt. BuilB. ..d Pmr.$bnr C!&r Tlt Conrrhir LLte Llp rki.r d +pl, h r. o*E ol
<br />rh Fr,rdy *ho tlils d rtrffi tlEE[ in $b &6 uh k l hil*lf or lErlf or rlrcIln hir 6 tE om.rpk F6.
<br />pmviH rh.r *h uF[ltlrdrrd -rd*il doik ftr.] ll,tbM.rlrhlilr-AdiqnE'diroUwlhhdF,
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<br />_1. arosnrof rlr ImFfl!, m.rrhnwly co rna *ith litn(n.odd6 ro oncrEl rlE ImFr lsa 7(},'l, Baffi
<br />!d Msir C.d. TIE Conrrror r Li(.n( Ii* d.E rrr .rpl, lo u orF or ptuFny *lb b{ildr or il!{'mEr rh..d'n.
<br />sfil ,ho otuft f., sfth FrFr! vnh r (o.rEknn h.nGl puBd ro rlE Co rEitrt Li.rnk lre)
<br />llonxFf{' conlPa\slTloN
<br />u[l:laSalll]!
<br />I hcrcby00tmunds r,.ntrlry.lD.rrury trc f lhctu11,,*i"r (hnni,,ns
<br />IhardrlwilltrEn sDr(cnni(!l!ol(i,ne k)S.llln{trcIitr*nrkcr'dnnpcn\rrnn.r\F,vidrdLrbyS.cri,,trllrx)tlrh.
<br />lihtr(',ns- tr rhc ntrlornu..r ulrhr witr* htr shrh rh.,rcNr r\ F\uc
<br />rh. *ork fr* whichrhir lkirn t\ trnnl My snrkcr \' (rnFtr$rnn ir\tr!Rc.itricr sndE,liynu rb.r dt
<br />I !mcr.mpr un&r Sdrb.
<br />2>
<br />AppliM orAA6lSiAMloF
<br />P.mitft Mm (prlnlr: I
<br />z
<br />$ \ t(\t\t,
<br />l.cn,fy rher m rlE FrformN. olrlE *ork fd f,hKh rhn Frm[ r tru.n. I shrllrn.nuk,y an! pcN). i. rny nEnft
<br />s !s lo tEsrE suhFl !, rh. s,rlGr drnD.n-r i'n U*\ ol (.llfomE. mJ lAft rh.r if I rlnlld rE$m ruhF! ft' rlE
<br />w 6 otr{Enqri'n Im yrii)n\ ol Sdrr :lTil) ol r h. bhn (in..l rlEll. frih$nh ortlty $ir h rrrc nn iri,n\
<br />,Ml fiE\ up h or hudrd rh'uqfll d.lb\ rlllr,firlr. '. tirll .yn rltF/,- 1
<br />D.,.: z/>z/e ^r,-, (F,1.
<br />u(E&lEl;0Nrxa.qruf,llctllaru!
<br />I lEEby toirm uid.r F llyolFriurylt r I m lirnsn u'd.t FDri3irr orcrEp'6 9 (ollmmin8 wnh S.dbn 7(lDIorDavirhn.!
<br />of rtE BlriBl rd Profdra.r C.d., rrld m, li.6e !i n tull foc ard.ilal
<br />ruuBl[-uai[!uu!1iJ1iE!i(r
<br />Lcndcls Ad.lr.s
<br />-
<br />ddtuft.. ind Srri. t*i Ehrin3 t' toillrn8 (.Nlel
<br />atDk ft i,rri tn,Fny ftr miFirr,^|l! lr*\
<br />AIIIIqAdLIIEII.ASAIIAN
<br />I hsdry allnr unds pcnrlry ol p.rtury oE orrh. folbwint ddld,ions
<br />Dcm bn PdniB.Aslr{or MrifE.rhn lU.nl Rc3uLri,n{ ('r k 40. Prn6r
<br />-R.quird
<br />L.n.r ol ltuiriarion
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<br />^
<br />_l Errify rhd rlr toLrsl rcelLrbnr Errdn8 .rlE(n (frn rl u. mr o{'tla.hlc l. rhh FDj.n
<br />I dify rh.r I hl\. E.d rhr rmlr.'i,n rnl.r.rc rh,r r
<br />F"'5'' tt
<br />di'tr r.rtu I agr.r ro of,ply f,ilh dl Cn y rnd ( ouhrr
<br />7
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<br />ELECTRICAL.INSPECTOR RECORD
<br />Cair:
<br />Polky NumlEr: Erpcs:
<br />-
<br />ksu.d (se. 3097, civ. c.)
<br />t id.r'r Nrm:
<br />-
<br />Meter Release
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