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APPROVALS lD/stG.COMMENTS OWNEN BUILDEN DELCAR TION
<br />I lErby 'r,n onrt r Fuhy or FD!,y rhd I m.r.q, nnn rlr ('onrdm l,irnc l,* for rl! ,olbwn! r!-n rsc mll i
<br />Burimii sJn Pn,t rriin (ii.) Any Caly or Counry whth EquiE! ! tmir kr sn{tud. elrd. in9hr, &mlth rr rqrn inl
<br />nd.tuE. Irir h ilr isru.ft., rl$ Eqrig rh. arplari ror ruh Fmn io nL. rBNd {Icmnr fir lr or rll i lin:d F!tud
<br />!. rlF F.virk.t 6f rE coir,rktr! l-iccr*n Lr* (Cl!fl.r 9. G,mnrtuin8 snh s.crhn 7ux).f Divnion.r ut rtE Bu.i@* rnd
<br />PNtc*hnr(1 .)orrhrr trmrtE 6.r.rpr rh.r.fhd.rd rlE haris ror irE rllg.rt .r.ntr ir. Antrirbtio.olSdhn7O.115by.ny
<br />q'rlic.nr for.Fmn sbF<r rh. rl|I'li. lo..ivilFmxy.lnor mElhln fi!. hundrcn &nldr (3!m)
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<br />n*Fof rlE tmFny, m!.nlohFr (irh srgcr $ rhcn skcnqrnsri,n. *illdo rlr *('* drl rlr {ru1e \ n[
<br />iolcftH or oficrcd ntr sb (Ss 7044. Busimrs ana Prcf6rb.( c(k Tlr (tddoi.l.iB€ tiB {tB nx qDly ro u o$F oa
<br />rlE lnrtEn, wtDt itlr inlnlB tlEr@ !d eh) &srh s.l hidsclfor hcr(lfor rhmuSh hi oi hd osn.r{rh)E.s.
<br />l,oliLdrhartu.h mpmm led,d.nd.do,otuforqh l(h.$w.rh.t iUmSrnF*lenrsEvih'n.rld
<br />nl(xrtlllliotr rh.OwmrAuikt r will h.w rL h{rdcn ofln in8 rld lE or {r dit n tnild or iillmE llld pfrFnt f(, ilE Fx{N of
<br />l.6ro*Eorr,E FtrFny. rn.rcluiiElycodrding wnh lLrtMtl o rd6 r. d'nqM rlr IrF<i iss ,(}{4- Bu.iK
<br />Pbtsrii Cod. Thc (i,orkror'r l,iccnic Lru dcr ml unpl, ro !tr o*ncr of rron ny *ho huildr or imtoE! rhcron,
<br />*ho $tu-lr fd .Eh FFr rnh . C.dMr{, lis€n t{|aM b rh. c.drd.r'. Li!.c l,r).
<br />t amcr.mfl unlcr SN'i.n
<br />Itrr. o**r
<br />nItRxEfs (rhrPENsrnoN
<br />DESJAA.IIA!
<br />I hcEhy rmrm und.. pcoilry ol Jf,rrur, ok t rh. fdlo*in8 dd lrBrb.r:
<br />I hN nl s ill m'nr!'h . C.nrff,rt. of ( (,n*nr (, SLla l.r!r fff $ortda dnqinsr ir. rr p.orik{ fttr by S€i r{ t7(n ol rlx
<br />Iitr, (iir.. li, rh. Fromlrm. of rh. *ork ror shtn tlr lEnni I n\md
<br />_l t E .d will min'.in mrtc6' comlEn{rhn imunft.. a r.qu'Ed ny sor an lrrD of rtu tjt'or Cnd., nn lft I'.rfo..Ene ol
<br />rlE eort fd *tth lhi Ftnir ir iso.n My rGt6r' orFN'.n ir{r.N ffir an l[lir nuniEt E
<br />c,"r, S+4te Fifl cl
<br />nu.rn,.*, Qztl356l7 5tz6/ta
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<br />(.nift th.r rn rh. FlrtrELr of rh. *urt i, shrh rhn tEn( 6 k1*d. I \hall rn.nlfhy rtrl IEr$n m r.t trEnEr
<br />a, aih h..onE.uhrc.r h rh. uldcn q8p.n\ari(,n ltr$\of(rlinnnin. u' lgEcrhrr itI rbuld li$ft ohF. oltr
<br />$.lt6i .r,qrner -n F,irl,nr ol Sd nn :l7tr) nl ltr ljh" OrL. I tul!. finhsnh (,trpl,' tr nh rtn{ Fnrnhnr
<br />WARNIN(; ljrihlc lo sE wdk6' oqENrrn .rll@8. n unb*ful .,n ill.l ahFl u dpbF r' sinidr Frli: !
<br />.i!il fiEs ur lo nm tlndEn lhous'ld doll$ ltlo(,.un). in sddnion lo thc c.st ofco'r{tn\llion, &d3.t st phvitn ror llr
<br />serion .1076 of rh. Libr c.d.. inrcr.{ r,n dr(rryi 16.
<br />4 tslJ ttb
<br />DEIIJSA]L!
<br />I lrEtiy 'llnm und.r FNhy6f ,cqlry rh,r I d lien$d uols Elvhio. of Cltltrq 9ronmrinr shh S..ri'n 7m)) orDiviinh l
<br />of llE Blri6i rn ProfcslE Cod.. rn my li..nE ii h tull forc rn.ff6r
<br />B r.i(ncNunE lo l'7 13Ltu#---L4 /30 I t?)
<br />c0ltlf,llcrlaNltalr(G-AtiE!(t
<br />I h.Ehy rmrm u,nf Fel.y ot Fjury rhi rlEE n r (snturio. drU +.ry ror rlE Fnlm of rh wr for *tah rht Fni i.
<br />isr,.d (se 1097. civ ( )
<br />L. tr'r N.ft
<br />AIS.rcAdLIIiIIABAIIU!
<br />I hotl,y rfm ud.r Fnrli' ol rE,jury .m ol lh. Iolb* in8 d(hlel i.n\
<br />l)cnllirion Pcirn&Arhcqkx Norifi.nrnrn fcn.fu l Rcrulr'ionr (Trl. 40. Pd6l
<br />RcqumLl Ilirerof Nd .turrn
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<br />c.n rry $d rlr {.d.rn rc$LrbG Etrnin8 .rb.rios rmvrl @ d .qrilirbb b rh! FoF,
<br />?4t cnily rhlr t lEv. Eld rh! lopliarhn !n .rft rhd rh. rhE inroridirn ! dBl. I rpE ro mq'|, *rh .lr cry !'rd (l'o,{}
<br />.rdiENs.tn S1ll. t *r Ehlit lo tnildil3 NmlrErirtr,,rd lErby.ulhtriz RF!€nlrliEs ol lhn Cly srd Counl, to cnld uFrn llr
<br />.h,v. adrEd t,nFny fd a!{Hbh OrFn
<br />^r4t^rn ^*,rr..^,n 1@ - D.r.: !1t9 tl-b
<br />p.r, ,( -.,p.rn r z!risarl</"i Atbitlo
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Si gns (monument)
<br />Life Safet y /Low Voltage
<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 />Faclory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceili ngs (T-Bar Rough)
<br />[/eter Release
<br />R pusn W&. @ -W '/tt
<br />Service }{eter
<br />FTNAL l/Aa<-*a 6A ls 7.=r*t a#t
<br />Notes, Remarks , Etc.
<br />ELECTRICAL-INSPECTOR RECOBD
<br />DATE
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