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APPROVALS DATE ID/SIG.COMMENTS OIVN ER BU I I-DEI DEII- R TION
<br />Ih@rya1tmundd porhy of Fjur.! lhd I6ampl fmm th. Co r&1oB l.kar lr* lorlh. followoe ren(S{7,0115
<br />BBins arl Pr.fsnn (-od.): Any Cily or Cou,n' rhEh rcqun6 r Fnn kr onrtud. .na. ihFore &mlih oi rqt ey
<br />nrucluc, Ftu ro il! i$udcc. ,Ls rcquir6 rh. rppl'.or lor luch Frmn 'o
<br />liL. run.i lrdm6l rhd lE or sh. b licdr.d pN.rtr
<br />ro rlE FrvLi)B of rll ConrBtr s Lk..*n l.\r ((1q6 9. Comtrlllg trnh S<lfn 7(m of Divlrion I of
<br />'h.
<br />ltBiB Dd
<br />Prcf*n,ns ( odc) or rhot h. or sh. !.rdrr rhs.fron Md rh. bat for rh. !ll.!cd.rmFio. Any liolalion of Sd ion 70ll 5 byrny '
<br />rtrgliclir lor . Fm'r $bj..r. rlE rrDlic&r ro ..n 'l
<br />p.ut! of .r mE rh fil. hu"drl &llrs (tJo(l)
<br />l. s o{F of rh. FFn!. or my BplorE wnfi c.B6 6 rhci, rL onFErio[ rill& rli tr6l td llE sxie ir mr
<br />idaxlol or.lI(cd for sk (56.?014. t\uitB dd P,lf*nrdr Cod. Tlk ('6.rtdor3 t-ic.R k! 66 ml 49ty lo 6 o*E or
<br />th. pr?6r) q'ho hildr m Egov6ltEqn !d sho rtE Mtr rD* hirulf dr h*ll.r lhmuah hit o. lE o*n dt9l6yc.
<br />l,.!id.d rhd $.h imFo\uEn! E d iddrd.d tr olH 6r s]. lf. tnrEq, rhc bild B d itrs.lod it iU sahh.a )-
<br />ol.oqJlrni, rlr O*c aoi!6 will ha!. tE hr&n ofFoviie rhd h. or $. did ml hoild or tr p.tv. lh. FoFa! tu ltE FlFs of
<br />l- s o*e olrh. t6Frr, m d.lcn.lr-..tu{hs wnh lk.E d.od.!.ioE rrt (trrru.: lrE F$F {se 704,{, t}]ffi
<br />nnd h!tusir Cod.: ltcContEtrnt l.i.o3.lrw &'d tur q,ply ro m 0$.6 ofFoFdt who hil{,r or mpmr6 th66n.
<br />dd sho .odr*lr lq.!.hFri(! $nh. (.otiRloni)lhdEal F.u,n lo th.Connciorr l,i(@ t *)
<br />I rn,.retr,d undd SNron
<br />D.r. onnr:
<br />WOR(Ef,T' (OMPE\SAiION
<br />DECI {IIATION
<br />I H'' , t[n. un& td,lry of Fju' r. oE of rh. follo*rg &.1,r.' ioG:
<br />I hiv. sd *ill ruinrlin ! Cdlifi.{. oaco.sl ro s.la-lNur. fur wo*6 onpolitut! a Fovid.d lor b, s6rio. ] 700 oath.
<br />lrtu (odc for tlE pafffi. of lhc rlrt fn *tah Oc Fnn i 6u.d
<br />|p, t'. - * r, -,.,". *ortd conrFdnio. ierm.. s r.q!t d b! sdion iToo orrh.l.lF, co<r. tor rrE Frrllr. or
<br />ill. ErI for *hich rha Fnn is iB!.d. M, worl6 ompsdion iNulu..rnd td Fhcy numtE r.:
<br />,,,,," E\e'€d+-N.I\-'a\ \-S Cc>
<br />..",,*"* l(ocGt{65t tct( ,\rtr6 4lr)zs
<br />I cslrtr rh.r in rh. Flotuc of rh. $or\ fo. rhrnrhr Fmi G Lr*d I .lEllml6plo' uy Fsn 6 6y @6
<br />ci d ro h...m. $hj.r! !o rh. "!rtc' comF6i ion Lss of clliaomlr ed isr lhd if I .lFuld bdom. !!bjd to tlr
<br />*o.t6' conFNrbn FtrliiioN of Scrior 1?00 of rlE lru, Co&, I Crtl. fonh*nh dmdy snn tsr FovirbB
<br />nARNINC lotuc ro su. sorld omFsr. svn4. i! u.h*tul, .d dEU rubj.rr s d.ploF lo oioi,trl F li. !n
<br />ciul nnd up ro orc ho(!.d rho@d dolls (tt00,o0o), in .&l[hn to !h. cor ol cotrr9.rsdion. dm!*6 a Fo\il.d for rh.
<br />s(rion \176 olrh.l.t r Cui.. inrad Md
<br />,,,,,. 1-Q-/.b A
<br />I)F('IAR TION
<br />I h@br .[rn unda FrXy o f FJur, rhn I @ lnlE d unrb Forirb. of ci4ld c (cnnlffi!ts $nh Sa:rbn ?0l)0] ot DNuu .t
<br />or rh. Busins ed Pmf6ioE ( o&, dn ny lac B in tull torc. &d clTd
<br />b c-z1.tt!\: zl:29 BcL G"HiSf^<
<br />SllllAlCIAlIllltItG.AqEtsCI
<br />I -di.llmu ld F!.ty of F)lD rld rlE. u r .o'dMbn L.dos lsdy tor rlE Ff(ffi. of rlt qdl tu $nit thi Fmi i
<br />i$ucd (s.c.l0!7, Civ. C )
<br />l.rd.r'r ND.
<br />AfILIIAdI..AESJ$I]AB
<br />I hddry arm u.dr p.i.lry.lp€j!ry.n. oflhc 6110$ in! d(lu.!i.n!:
<br />O.mhirn PoItu-Art 3o! r,lor,f(nFn t dd.l R.suldnnr (Tnk 40, Pd6)
<br />R.qun.d l.rt6 of l.lo|'fr cain
<br />)htd,6 rhd r h',.@d,hBaprr'col
<br />dn16ft6.nd srd. t {! Elrls r" t!
<br />ah'* hdlion.d prcr.ny foi '6Fr6n
<br />ion Nd vorcrhd rnc al\tre irn]nnatiotr s cord l ilreh.omtl! (irh sll( ir]i.d(bunrt
<br />6drri\6 ofrhn cny!i ( ond, ro ora upon rtE
<br />l-z:1-7-o
<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 />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit Z\
<br />Walls (Conduit)7-t4^2n h#iAl
<br />Walls (Rough)7*y{,^7,'tr '[1r]'Ceilinqs (Hard & Soffit Rouqh L-l/-l-a'v..u l*t\;
<br />Ceilings (T-Bar Rough)3-E-A \.II,IK
<br />lt4eter Release \l
<br />Rough
<br />Service Meter A
<br />FINAL 3-1t _2,14t'hth
<br />Notes, Remarks, Etc.
<br />ELECTRICAL-INSPECTOR RECORD
<br />Sub-Panels
<br />, B & PC n,thn rcMn
<br />I .oriry thd rhc trdrrl r.rularioB E*edins atBios ronval ,. nor l9pli.rbl. to rhii F)jcn
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