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LLr-\' I r\rt ra|-- rorEv I vl\ l\Er/vllu
<br />APPROVALS DATE COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Vo Itage
<br />Fire Alarm / Dam pers
<br />Communications CabG
<br />Buildi
<br />Under Slab / Floor
<br />oB dn nI ro nu Id FU REong
<br />Transformers
<br />Torquing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls Rough)
<br />c I n S H dal &e ffio Rot us h(I
<br />Ceilings (T-Bar Rou sh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL /u t,t1y'z
<br />Notes, Remarks, Etc.
<br />Oma-Buildq DalrdionIhqobyr6mund.(p.ulyofpsjuryrh.rIma(ePtfor6lltrCo!!.dotr,Lic..l.yforrh.foU.wi.8r...o.GeTo!L,Blritrd
<br />.d Prc&.lion Gd.) tuy Cny or C!! , whlch r.qutr. r Fnit lo conll.ud, da, iaprovq d@ljti o, ,.Ddr .!y .r.uG&$, Fto, to in!ru.!.., rlo r.q@ rh! rppliqd tu ru.t F&jr b nI. r.i8!.d r!.r6.d $ri L d.t i li.luod Pst!. io tb previrio; ofo.C.n!...d! !i..n .d Ls (Ch.pE 9, Co@ed.t pit S.".iD Tooo orDiynb! I o, r[. Eui.. .!d pro&.tior Cod.) or On !. stl. ir q&P. i!(tD6 lld U. bir tu th..!.r.d eFio..A!y vi.t don of Socion ?031.J ty.!l,.pplirrr tu r p6;n,ubj..r t.ppli-!t ro . dvu larhy of Fr eE d$ 6v. b!.d,..t dou.r (tsOO}
<br />_I, s omd of th! p.opdry, or Ey eployq *iri wrgo u rh.t loL @ardl.tioA eil .to t wort .!it r!. &udu. i n6r lrtad.dor o,riftd for r.l. ( SE7o:ra. BuiE. &d plofdtbu C.da ft. CoDrrcd'r Lio!| L.w.to.6i.!9lybeoe!..olt prorqo,wn bi!,. d bFoE rldE4.rd slo &i..tA wt hjrb!.ror [..Btro. rEou& !t qt om;p'toy!-,,.oid.d rt i&.tioDrowdarr s. Dt nrad.d o, o&.. tu nL I( b.*'8, r!. hriEor d EFo;e. ! lold *1r,i., ."1 [r'oi *,etaioa rr"Ow-Builds yillh.E lb. hrd6 o(prdils rt rt or !n. lor hliu or irFo!! lbr rh. psrpor of.t ). '
<br />_I. E om.J ofir. pbpdy, ro dclurvoty @ruuin8 wrrt li4{.d onrrdor to @rnla rt! Fojcr ( Se ?04a, Bui!..r r.dPor{tn. Co& Th. Coihd.lt Lla. trw dq mr .pply to & owu orprclsry }to bu d,;6pov.6...0". .!d *ho
<br />@!ln rr for .{d r.oi.ar wilt . Ga&r.r.(r) tiod..1 ,uru !o l!. cn ndD,,. Lj.{e rr*.}
<br />_l e d.mpt urdq Serb!,B &P
<br />WORI'E\S COMPENS TION I)ECI-AIATION
<br />r I@Dy um unda p.rr.y or psju.y oE or E touowi!8 detrnl.d:
<br />_l llv6r'd sillmirui..Cdi6an of CoEcnt!o Sclf.Imr.formrt6, @sr6r.rioqr,.ovid.! lor
<br />th. p..fordDo of th. E.r for wnich 6c pmil ir itru.!.
<br />ud erll hrinri! world i!.u.!.., s rcqu!.d by S.crbr 3700 o{ rb. Llor Codc, tor rb.psnn ! i.u.4 M, mrla'@hp.ru.lbi id'ec. erir.!d poli.t auBlf e:
<br />C.- \,-l -so-- C2o ta-
<br />6Dpld.d iftll pBnit i. for Onc
<br />iE pdforlllt@ of 6! wort fd wiEn fii. pdan ! iru.4 r .hrll er 6pby uy p@o. in &y rus ,o ! ro!h. s*{ @hp.sibn hM of c.titornr .nrl .ir* t!|r ir I rlolld br.@ lubj6r ro rl'. F ta,
<br />,rovirbN of Sc(.ion 3 700 of rh. trbor CodG, I ronhqith @nply with tor. pr@i!iod..
<br />*-')-1 -e
<br />!6I. wrr| co6p@.rion 669. ! uLytut. Dd thlr rubjc.. & oebyq g) ebi!.t E!i.. Md .jrilri.,n !d dolll,t (l I 00,0O),i! .{diio! ro dE .on of c.Dp.u!ro4 drdsd ..3 p.ovit d f.1 6c S.(Ijo! !016 ot
<br />LICENSED CONTRACTOTS DECLAR^TION
<br />r rE.!y rairm uMd polry or Fiury tu I D lir@r.d oldd prcvnio! ot Crrprd 9 (@m;i!8 pili S*ioE TOOo) otDivi.io! ! o(dt. Bqio.l, rd kofr$io{ Cod., lld s, tic.6. ir io [tlt for.. !d dft.t --B
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<br />ulda polly ol pajqy dd tnd i.-IadiI,{a.y fort prftrErsa o, O. wt ,or wtlt llit Fdn r
<br />'!ru.rl(Sa. r097, Crv. C )
<br />ADDLICANT,S DI,Ci,AII TION
<br />D.@Ei.n PhilAb-rd NoUn*oo r.agl nrfut.lrr Cnr rO, frn CtRlqui.d IrG ol NodfidFn
<br />_t 7p*|"ta^t nruh!6D ,.lEdin8 ubrlo'
<br />lzfdlry &u I h.vo r..d r}l'.DDII. Uor rnd r[& dr.t
<br />raonl r. .ot rppli{bl. ro llj! proj*!
<br />qdira€ rrd Suu L{ rcLriit l. b{ildir!
<br />tt .boE irfor doa ir 6ft(r I ..re b @Drty wil rI cnv
<br />.!d ldlby u6orL. !.rr..aris of rli. Cny .rd Countrbos 6anbD.d p,oFiy for iut ai.n
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<br />ID/SIG.
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