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APPROVALS DATE ID/SIG.COMMENTS owNEx BUU,tllir( DH,cAta]rTroN <br />I lftlD .lfrn' orL, FrtI or Fry., rh{ I Jtr.rnpr n! rlr (bdnr6'Iiffi Lv turth.,ollovu{ EBn (s.(?(llr.t <br />Busircs rd tr.lcsion C'{c): Any Cny o. c,'udy *trch rcqut.r r Fna ro otrrr r, dr6, 'nproE &tulu[ q EFr x, <br />tu-G. rrr ro iis trtud..:hi, rqrEr rL {tiid lbr rL.t F.d r. 6k.,3Ed ,n.md rhr h. or rlE it li!trrd l,dd <br />lo rhc nmvisionr ol ltt Conr-roir l.a..*d lr* tCh.F6 9. C.dEEr.t wih Sdhn 7(t[ oI Invii-. ] ot0r Bs'Bs rld <br />Frns!tr!C,rl,6lh.rlIdrlEu.utrtrdFlt.or.!rlrlltsntunFr&r.J.Enrrrrn <br />^Iy <br />vi'Llion oI S.crirn 7031.1hy uy <br />nt4,liod lor , ,.mn rtrhl.(k tlE lpplElm ro r .rvil p.Mlty ol mr Dr. tho 6y. tundEd dolLr (ttu, <br />_Lro*m.nlrh.trotrdy.dny.nl,lt!!ra*lh!.r-arlririk.on.di[qll&tlrkrt!nrrtrc:di.srLd $oltr.J rdd.(sd 7or4, ButiE3! rni PDlisb'u co&. Th. Grrir&1fl Lk.n* t * docr mr 4ply ro u o*Er ol <br />{E Fotdy wl, trl,r i! nIDE ilEE4 .n sb ds *n k{t hllet 6 hsrll d rtt{ah hi! d lE o*n.npld)er. <br />,roridal $.t ru.h iml'NEmnk e mr inkind 'xor.r.d rd.l. ll. ,rr.g. L,l hdB!!3 n irFl'rlld n rE IiLd F <br />orcnpkir t r (xEr B! 16 vtll h.* rtE h,Jd olFlvfu $r llrCE Jrl N tlitl n inp.wl}r FlFry fff E purFEoI <br />-1. <br />! o,E onrr Flpsty. rm.r.! rrlv.ondllt *ih lrael !rE.r6b.r)ll{er rh FlFd lsd,?Oa,r- BuriN <br />ul EDts{ Cod. TIE Conrac!tr ! Lr.tr\. tlr d€! rur rDrr, t, u o*8. ol nroFny *tr hoildr or aEprDwr rhd.e <br />rnd *tr mn'-rr ,( och F J.dr lrh r A,nrdil, li..drd FFun ro dr Codd(t l!!E lru) <br />-l <br />ut.umri udd Sdt.n-, B dPC iitrdln B.gnr <br />lqf,f,!&Lg,rMt!,lsAlll1! <br />DECIdIAIIOB <br />I tfthy.flirmund.r IrMl!ofnqrooe of r nnhrlu dd l[d i,B: <br />_l htE lrl *iU Dinrtin ! C.n,ftd. of CoMnr ro S.lI^lsuE f(tr rorlar' Lrn{xBriotr, i! FxviJ.d for try Seu,n ]700 oa dE <br />lrv (ia., fir rh. FTTM|qC ('l ilr rtrl fd r hrn rh. tEM ir !\ad <br />_l h.E !'n IiI rudu *,trt6'..n{lrsrrn rs,rN.. 11 FqoiEn b, S..ru r70O.trlE trlu Co&, n rh. F.fmuEoI <br />rlE knt for *lsh rltr! tsrd tr rrqd My s(rldJ lrDt8Mr,n r|sm. m rn Flly eftb.r d <br />-l <br />.(t8 nd in tlr F nrnrd. f UE yttrk f,. elrh d! ncrtur !r ilrEd- I ndl d .npt', uy Fsn m 4y lrrldr <br />s $ h h*$r shF( h rhc m di.nmFMrbn lwt or( rl'fomE, 8rd {ft rhr ir I rhuld t'ccnft stF t. tt! <br />*orl.a onlErdlo F,vsrN ufS.iDn l?00 ot rh. LihrCod.,I !rdl. ronhrnh $rply *irhlhos poviloN.. <br />I'AI.NING f.i,uE h su. rMl.n drtrp.ndb. ov.r3. n u.h*lul, md ih.ll ruhFl u .mploy.r lo qi',iul FrlA md <br />.Ml liEs uI, n, o'r hudEJ r|tred tn)lra! (tl@.llx]). r rdl.u tu ir ..r of .dtEBdio.. &Dtd a Foyilal fu rll <br />Sdti8 :l(,76 of$. bhtr GxL, i.h.r r.d rl!trryi l.c\ <br />u$lslr-(lJl1lra{jtr 8 <br />!}]UJiAIT!N <br />I tftby .ff!r unLr Ftuh! uf Florv rh.r I r lic. d t'rLr pruviion of Ch.I'rd 0I !,n,r.( <br />'nx <br />rnh S.(bn 7(x)0) of D'r$bn l <br />oI rh. BurEs{ rd Pnn r.nns (-q!, ,n mv l..ne 6 <br />'n <br />rurl loc .d .lldr <br />Lir.tr.Cblr:- <br />calllxuElla!..LEUDllc-dtiE8ta <br />I &,ch, d rirm unk Ii Elty or Frrrt th, rtEr a r mn{uri.rn khdin! !8.ry tu LIr ldrn'im. nr rh. ktrk hr rhkh rhis dnl i <br />hskdlSd lrBl.('r.(-). <br />APPLICAIYI DECLARATION <br />I n6tr, ltror unLr F.llr o, Fr{, rE of ft nnl'rE! .}.lr&N: <br />ocnltion ft.nn$4ft(ns Ndficaron F.d.rd R.rudn'n! (Tnk 40, F.n6) <br />-R.q!!.J <br />fd!( .r l{nfEcir <br />I cddy rh. rh. LrLr.l rqulri.^r rc8z ra .rhr.r r.mrrl ,. fti {'9L..bL h rhi3 IsrFd <br />_l drt, tlu I trE Ed rh! .pdrdin rn d. tld rlE !t!E mfrJmdM ir (!ld I rlc r. oply vri .ll Cry ud Cd, <br />Mdit)rN. rnd Sur Lrq. fthriryh hi!1i.8 coird<li,4.nd lrEty rnh)ri,,.r.*djE nftlfiCtyrdCou , to dd up.^rh. <br />.bor. ldixrJ FDFny,r iEp.dioi F,Fa <br />\!rln r or tr6 si*nrrurr <br />Site-Work <br />Underground <br />Pole Bases <br />Light Slandards <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 />Bondinq i Groundinq / UFER <br />Transformers <br />Torqueino <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soff it Rouoh <br />Ceilinos (T-Bar Rouqh)I <br />Meter Release </4/M)0 4,5J4r <br />.(l <br />Rough <br />Service Meter ,.) <br />FINAL q/z/zot-)-n{M <br />Notes, Remarks, Elc <br />-7 7 r-J1T <br />ELECTRICAL.INSPECTOR RECORD <br />tJnds . Ad{t6: <br />-