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<br />APPROVALS OATE ID/SIG.COMMENTS o\xNER Bllll)ER DLlrCl Rltloll
<br />I tmb, .rm utrL Fuly or Frpry dr I D c&tr+ tun ilt Gne6 lft l,* ror ttE rolo*i{ E.s li(7011.t
<br />Buin.tr !d Prolsri'i C.d.l An, Cnr.r Ctun, *hrh EqoiB . Fni ro 6dd, dr6. ir?roe .kmlul .r ap.ir uy
<br />eruE, Fbr ro ir. Kqe., aLr. EquiEs rlE t|lt iut lo. uch F u k' tu r lkEd rr&nrd thd lE or tE ir liNual pud
<br />h iE tmwi.B .r ft Coftdi l-ixr!.d Ii* (Ciqx.r 9. C.llftri.t enh Sdhn 7U) .{ Dirnion I .I rlE aci.E! rnd
<br />FDiisDu Cod.r a th:r llu nr !.r.n+ OldrtDn lrd rh b.$ ior th. dLa.d.hgm /sy Ehtb.olsdn.70ll., hy D,
<br />dp4lk fl ror . Fmn rubFa lh. lpplrc..r ro . .N il p.mny or mt llm lh.n fiv. h{.&q, dolL4 (lr.U)
<br />_l- s ormr orrh. FFny, or mr.'iphr.' *nh *.3.v a rh.t $k onFdk'n. eilldr ttr *(t lld tlE ,lrfu. d
<br />danlai r oflaql i( d. (Sa .txr- AuriEl ..J ftorBrh Cql.: Tlr Cffi(ri ll.e Lr dG d +pl, to x oYE ol
<br />r F{ary vho hiltlr iqnhrrEEa d *hod6tIu..ttiEror lFrlr d.!u8! br r tn oE.lpbrEa
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<br />ot $iplria 0E o*Dr BuirE *ill hlE dE ttrrd.n o, Forin8 lrq rE Dr ,r Jil d hoitl or utFDE 0l p!Fr, tq UE FrF* or
<br />_1. $ o*F of LIE F pqry, n.r(l!rnrl].oflrdm3 rih lk.ncl.oftr6 ro (!fu rlE p.qct (5a ?Oa,t. EltlB
<br />!n hrksir CGL Tlt Cbirtukr'r La.n* trw drs mr rmly to u osEr of FoFny who buili! or hgrDkt ihd64
<br />$d *b stud: n, ech F.rd, *iLh. GdBo(.' li..Bd Fr.ulr h EcodtElm rL&m L.e).
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<br />Ill8f,Il|s:lgMrrdralla!
<br />DECI.AIAIIIB
<br />I lmby nlnm und., Ftuly oI Frury oE ol th. lolbr in3 &.L.rDB:
<br />I h.v. url *,ll nDrnrsD u C-.n .rr.ofconk lo S.t-lmuE to wrtft Nn{lMron. I Fnvi.d fi, by S.cri,tr 1700 ot rL
<br />Llrr Old.. Id rh. rf,rloffi. oI rhc }on ,( shrh UE lErtr ! w.d
<br />I h.E td *rll tunr., mrlfl' .onIEMrr BU'nc. 1r Eitlrtd b, Sdm l?0o of rlE Lrtq Co&, for rlE Ff(rlt4t or
<br />LL *(trI t(tr whrh rh! !.rM tr !qrd. My *orl(r' orFNrrEn iNre. i:I@ dn tlky nur$d .c
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<br />..nify rh.r h,h. Frlornrm. 01rlr *od nr vnth du Frhir i, sual, I thrll d .q'loy u, Frsn in y ffi
<br />$ DhltoEshrdh E y,tfl @tr+.d'oi h'. o,crlrfmn, !d {r 0. iI LIEU b.oft ottd r. rlt
<br />rodd! rcns.MM F)ri'.D of sdrcr l7{I) o, tlE tAr coL, I ldl r'dhvrh.!ipb vnn tilr prDBI,6..
<br />\YARNING: F.ihE ro r.@ Bql..'@rpaqlion @et.. i! u.L*rul, ri ,h.ll rubl..r D srploFr @ dirirl p.Elid ul
<br />civ frr !p ro oE llrd thou{td dolk, (tloo.mo}. r .ddibd ro rh !d of clrq.@ioE drEls u Foyn.d to( rlE
<br />S.@! 1176 o, rh ttd Co&, i .d .d nr,r.r'. 16
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<br />Apelorl:-
<br />UIENED.SqETXACTIf,ItElulaIIaB
<br />I h.Et, .ltn !i^r., FMX! o1 Frlry rtEt I ur llrncl ulls Fovuin ot CrlFd I t.ffirt rrn Sau 7@) oI D*Isn I
<br />o, $. EuriEs rnd lt Lsionr aoJ., on my lr.m it r full foe dri.id
<br />(.ONSTRICII(,iI LFAIDITE AGE\C'I
<br />I lRby rrlirm ud.r FMlv nt I. ,uB rhd lhd. a . mNtuthn liiint .a.Ey Ior rh. F.tlru. ol iE *dt i, rn.h thir Ftu i
<br />tiual rs.c.1091, ( iv. C.).
<br />ATTLICAHLDES.AAA:IIQ!
<br />I hod, rfm ut!d., Fuly of FFy (E ol rL folbwiot &.ll,io:
<br />D.miirn P.rfu!f,lli.rd |{l.fdD. F.n rl RcauldDu (Trk,lo, Prn6)
<br />RcquiEd tlts oI N,ifdir
<br />_l .giil, illr th. ,.ddd rcruhts qrrdinr str!.. tcmr rl E d {?lr.bl ro rhi Fsid
<br />-l
<br />c.nrfy rh{ I luw ,od rhir rnnlrlrion {rl d{c rl( rhc !lr,w rifinDron tr corar I ltrc ro conply *nh dl Ciy rd County
<br />ndilrmc, !i Shc U*r
<br />^brin3
<br />h h{iLli.a ..lMdFr .rn h.rcby &Lh{ia rFc.ndivd oI rhn Cny .td C.unry lo ds up.r t E
<br />rb.r. Id brd FJFdt ,q iDF -n pupG6
<br />.\ppli(sr or A36t Slarrrr
<br />PmileBn.rort r:
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Founlains
<br />Sions (monument)
<br />Lile Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER 5 XrZ'LlTt/&/,//ry
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipmenl
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilinos (T-Bar Rouoh)
<br />It4eter Release
<br />Rouqh tt l-. - r,2
<br />Service N/eter ry/d//t{/LU.4/',wt to
<br />FINAL 7/8/'*-,//tt'bt ,{/i td
<br />Notes, Remarks, Etc
<br />Rev. 08 07-2015
<br />Ln&r'r:Lm.-
<br />Lid.ri Add*.
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