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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Lighl Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Salety /Low Voltage
<br />Fire Alarm i Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Solfit Bouoh
<br />Ce ilings (T-Bar Flough)
<br />Meter Release
<br />Rough EXPII (EO
<br />Service Meter ^il f) t
<br />FINAL MAII U I 7N7 'fu(vrttr(tlt/
<br />Notes, Remarks Etc ,e-Ew; eiry, t'ua
<br />.-l
<br />(,WNEX BUILT'EI DELCAXAI'ION
<br />I lEEhy .lItrm u.&r p.Mlr, or F.Jory lh.l I m .r.rior rmf, lh. (tnlrrtra Li...s trw fttr rhc rollowinS rclg'n (Sc ?oll I
<br />BuliFi !d Pn{c(bn Oncr Ary Cily or Cou r whih r.qutcs u Frn n' con(ruc1. rhs. inrF.rc. &m nh or EFir uy
<br />sukre. Fir ro n5 isru*., !ls, equter rh. lorlicur for rut Frnir lo nt ! ii8rd rrlr.m ih.' rE or rh. a lk!.i.n tllgn
<br />lo rh. Eovnhnr ol rrE conrm.roat Li..n€d Law (Ch.t d 9, commNin8 Mh S..ii'. 7(f,tr ot Dirki'n J ollhc Burirc$.rd
<br />Pnf.(ions Codc) or rh.l lE or.lr n cx.nal ltmlrum.'n rlr tE(ir for rh..llq.d crc'elbn An, ri nrimorsdi,n701I t byrny
<br />lmliclnr fd. Fdir tFlrrlE.prli. ru ! ciril p.Mlrr ol rn m'E rh,n firc hu'rrr.ri &nk\ r5Jlx))
<br />-1.
<br />.r osEr of lhc FoFrly. r my.r{,hlRr wilh wrSes rs rrEir bk conrrEf,srhn. *ill &, llE *rxt .d rli rlntrE ir I
<br />id(dLd or ollcEd f., nh t Sd 7(x,l Bnrir3. and Pr,fcrln.i Crt.: TIE G)nirtr'r Li.m trs ds d ioplt !1 ." iir E ol
<br />rtu rmFny wln hild! iqmF llE@ ard rt ds trh wrt hirell or llellor ltFUEn hn ,{ tlt o*..ry,k,yc.s.
<br />provirdi rhrr ikh irFDwd! ft d{ irdrLd orof.ral lor eL lt l$w6!r. rlE b{ildiry or inrE vrrd h a,Ll wirhin,,nc ,ur
<br />of oipEri[ itE o'rffi Builhr *ill hrF rlE bud.n ofroiry rrul lf, or dE dri nn hild or ininN rhc pn'Fn, ix tlE lrurFEof
<br />-1.
<br />6 owffi or rtE FoFny. .n.r.lunEly tudfudo! f, h liri{d .odkkn lo ('nqdd lh. ,x'j.! (Sc. 7l!-1. Butincs
<br />rd Fir.<nnCod. TIE Co,rrdor r l,ic.nE Lr* dcs ml rnply ro rtr owncr ol nfupr y e n' huilds n n,pro\!\ !hdn'n,
<br />md *ho snrmts ii, uh Foj.ck with . ( o.rndon s, li.nkd punlrn! !o rh. Gdrd.. ! LEne t* r
<br />-l
<br />.m.r.'npl ufti.r Sclion
<br />lXlX[r:Bli.gJ [}I$ttIA]D!g.J&Llla!
<br />Ih.r(h) rrltr uiJ.r trtuhj rr F-rJultrrf,o, rlr lolh,n !(1..ll' (nr!
<br />t!/b ^*u*"&
<br />_l h!v. rn *ill 'Birlrh *ortc coryEns.lion in.urorrc.0s rcrtutrabySclionl7(noflt(Dhn(i c.n,r'xFrt(Imrol
<br />lhc vork n -han rhnlErmil rr nrudl. My *o.rsr' omFn{ri,n iNur!rcc onar JnFni}Nn*f,rec
<br />-l
<br />h!v. lxl will minrain . C.n,rrrL ot c(,n*ni t, S.lf ln$R for *{rtd\' frqEndion. r. Fr,id.d nx hy sdi'n l?(D of llE
<br />trhor C.d.. ao ih. Fnlllffr. orih sst ft, *nih rh. Frhir it ilo.n
<br />E nr.-r 1t
<br />WARNIN(;: I.trihr t' *cxrc wurkcn (nhtcn$rxr rots!8. ,s xnbrfxl. xi \lull iubtrr !r c lllr)v k, dnnnhl F,EXis !n
<br />.rvil fin.r rI kr oft hundrd rlx)lsd doll[r rlllD.lxrrr in rHnnn r,' rlr (td ^f .o'I{nori'rn. J!trd3c< ur trx'lilLyl ro. ih.
<br />sdr.n l07t or rlE L,h, criL 'nrdr{addxrr\'!1rc\ / \\-/.I
<br />LtcE sFn co,vltacft)t
<br />D&gIJAAI['!
<br />I trby .,rm un&r rENlly of pcrjlry lh.l I rm liensl und.r Eofii.n ol Choprs 9 l@nfttins e h Scdi'n ?urD .r Divi.i'n l
<br />of llE Busim$ rnd Pmr.srbnr Cod€, {xl mv li..nE ( in rull ro.c . .(lsr.
<br />,L c-\.l:l +
<br />ct lY(TRucfr(rN I FltDlltc acl\ct
<br />I h.Ehy !fir undq Fnlhy.flErrryih.l rh.r. i! r $nrndh. Lndiry.artt ii{rt FformM.ofrh. work Lr shahrhisFmn ir
<br />nr*ntsa 1{87. civ c I
<br />APPLTCANT DT'CI {[{TION
<br />I Hry tfm uftLr Fnrhy ol Fru.y om or ilI lolkrving d..Lnl i.n!:
<br />D.fr,han P.mik-Arh{oi tli,rirr.ri'n tu nl R.auLrio.r rTiiL,r). Pfi6}
<br />RcquiEd L.tr., of Nditerbn
<br />-l
<br />dift rhd E f.d.r.l rtrlhrim E8idin! ..t rb Emli m d +di.bL h ttis lmj.rr
<br />-!t.-alry rUr t t "" *"a rtl.rpt'li..lionrd !r!rrlhd thcrh'rc rnfornur$n ncorar lssrrt'conply* harlC t! lcounry
<br />ordinorc.r.nd SI.r. L*! Ehtin3 ro buildiq snitulin !d hft$y_|lllh,i! r.Fenro'iE! nr'ty. Cir) !n C unryk,. d uF,ntlt
<br />ati,w mnrnrd JmrEny lo, NFdE. [uF*]L- ( ){fAppllo or
<br />^sdl
<br />skmrum )4 L-[A
<br />ELECTRICAL.INSPECTOR RECORD
<br />Pole Bases
<br />Transformers
<br />I ditt rhir in ilE F fo@Br of rlr *ork lin whth rhir Frdir n ntud, I shrll mt.4rlry rny p.ison in oiy ninncr
<br />s .. r,' h.$E {hj.\1lo lh. srts! sn{tnsrbn llrr olcrlifnni\ nnd l'8E lhil irl \h,ukl E*.m uhF! i' rh.
<br />*ortc^.oniEnstn,nln,vision\olScdirn:lrurofrh.l,htrOnc,IrlEll.fonhwlhcotrrr,*irhrt,cpfl,rni,h
<br />?f GGZ
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