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APPROVALS DATE ID/SIG.COMMENTS OYc-Elil&r D.d.iia
<br />I h@by .fim und6 Frlty of Fjury th! I m ddpt fm t. Cdrxroi Licag Lq for rn lollorinS lE9 (E 70! L5 BBilE
<br />6d Pbfdid Cod.) Ai, Cily a C@r, riid Gq!i6 . Fnit to orr!.r, .lta. irg{r!, d.iolid a riflir s, t'ud!... Fid 6 il!itue, .lr cquir.. fi. p?ltbr fd Mr! pqmn lo filc..i8ncd l.toct lta i. d th. i. licard Ftret to tt Fwi.i@ ol6c
<br />CoEed'r U.ard rr (Ot+r 9, cffiiu 'irh Sdio ?000 of Dirid J otrE BsiE.xt ?Dfdid C.d.) E rhr h. d
<br />th. ir cropt lhetm.!d tc b.rir fa lhc.lle.d qnptid Any violdid of Sed6 70ll 5 by ry rrdior rq. Fhn tubj.dr tn.
<br />.!rli6r ro . oril Fdy ol.c. ttr dD 6E hddld ddl- (l5oo)
<br />_1, ! ffi of ln. F!?qty, d ,r, 6rlor€ nO r.a6 . rh.n .olc cdrscraid. *ill do rh. wdt ed Ih. trll.e ir nor intadd
<br />d olricd fd r.r. ( Sc 70... Buind ud Prcfdid Cod.: Ir!. C6.d-'r L'c@ L.v dG n<r .Fly 6 e ffi oI $c F.pcrq
<br />rho brl6 d inlioB rb6d, .d rho &- d! rut hi@ll a ha*lf a dBd! tit 6 h6 @t ddot6. FlvnLd dd tEnihFo66E B rol itrtrd.d d ofrald 16 t.,c lf, h@.6.lh. boildiia 6 imForaEr i! sld *irhan * y* oadrpLo.rl. lnc
<br />OrE.8{alda rill h.* itE hr&r of Foviry tna h. s !h. no( b{ild a irp.e fd dE ,l[F.G of.dc)
<br />_1, a omE of dE FlFty, n q.l{ivrlr 6!....int rirt li€ld oEEt6 io 6fu ln. Fojd ( Sc 704r, Buind ud
<br />Prcfqid Co&: Tt. C6h.rd" U.!c L.* &q nor.ppl,lo & ffioaprcFr, lho blild a in .rc lnc6. nd rho
<br />c<Iler fd n n poj..rr nln . cdEEd(, li,tt d Fll!@r .o r,E CmE.ldt U.aE t r )
<br />_l n aqrq uih S.ain _.8 &PC faUir,!&l
<br />WOTXEIS COM'ENSAfION N'CTTRATION
<br />I hacby tifim utuLr p6!19 of p.rjury a. oa th. aoll@in8 d..l&rc
<br />_l n vc &d,ill mdndi ic.nifiqr. of Colgl !o S.ttu@ tq rdta 6rFr..jo. ! Forid.d fd b, Sdid lroo of dE
<br />L,t . Co4 fa dE Ffm of fi. Et fd,tid lt. FhiI i! iefd
<br />,l hrvc -d *ill oiit ii dl6' trFu.lio iNUlzE - Equnld L, Sdi6 !7m otdE L&. Cod., fr rb. Ffa1rsa of rh.
<br />w6l ld wtid thn Fmn b i$u.d My w.*d' cmF!.tid intu e trid nd Fli., idntd G
<br />Poli.yNmb6_ExPlc
<br />(nta! ,.ci,m i.cd nd b. drlcicd if rh. FEir ir fa OrE huild .l6llE It r oot d la)
<br />_l 6r'fy |h! in rh. FfdrtIE of $. rdt fd *hid tti. Ftut it i!!.4 1 rh nddployeyFBinsy.Mnr.oulo
<br />b.c.e rubd !o dt wrd cdnFsrid l.B orc.lirmir, od rsE dr if I rhoold bcoE&bjcato d. rdio'
<br />cmrFlaio Fwiriff of Sdi6 r7m of .h. trbo. Cod., t tn.ll, fdrtwnt c6d, wirh 0E Fqiridt..
<br />WAilllNC LlG !o EG rdr6' drF!.ri6 .{Er. i! ol.*lul. Dd !h.ll tetljel & dployd to aihiid p6.l(6 &d civit
<br />,iG !p lo o. h6d!d $osd &lln (l | 00,040).in dti.ia !o dr d of .69qr.drdl| d.!ra6 ! r.aid.d fa 6. S.ot tO76 of
<br />ln. L.ha Codc i.Ern d taiqt fd
<br />Lrctltsf . colyTR^crons Drcr aR TroN
<br />I hcriy .68 u6&. F.lry of Fjd, lhi I m liGr.d u& FEvirio of Ch.BE , (dltlEainPilll Scrid 7o0o) of uvidn , of
<br />lh. Bsind ad Prcfdi@ C6d., dd nry licoe ir in fdl l*. Dd .fic1
<br />CONSTRUCTION LT,NDNTG GI{CY
<br />I hftby rmd urb Fdry ol Fjury riI Oc i . @rrur6 la<!.r rga., fd dE Ffdrm of .lE rat fd did rl'i! lann it
<br />| $ud (s( loeT.civ c,
<br />atruclnts DEcr {taTroN
<br />Dsrclirio Pamit -&hqid Norificaid f.&r.l R.iolnjor (Tirl. a0, Psr 6)
<br />_ R.qd'!d t .a6 of Nod|c..id
<br />_l dify du ln. f..kr.l E8d.io i.8!dina dd8 lmvJ E n r .ppli..bl..o dri! Foler
<br />_ I cadry dd I hrE qd
<br />'l|n
<br />.pdi.ai@ od trrc tn.r l!. &.w infd id ir dEd I .!E !o drd, ?irh .]t cit, &d C@ryddinle &d sl!l. trs El'lins ro buildin8 c4tr!cti6. ed hRby rfidiz EFwtrrrliE or[ . Cir, sd CMry ro 6rd upo. $..!o* i6riqEd F.?aty fd iEF jo Frpc
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torquing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough --.rrEf I
<br />Ceilings (T-Bar Rough)E ,f,rtn-'
<br />Meter Release -^ar?t t19tEp"
<br />Rough , 843' 23O')5o. uv
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc.
<br />ELECTRICAL.INSPECTOR RECORD
<br />Sub-Panels
<br />-/2./
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