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. .:.:.. ...,.. ....... <br />.. ,...:,_._ .. <br />JUN-25-1997 23'25 FROM STATON CONST.INC. TO ~~~ <br />JH~-GVII..VUkC1t1VUJ~Jl~t,1l#tC.~1N~, 5891657 P.03 <br />D~MC7~,I'I'ION S~l:! ~VN U1502 <br />1997 AND CQI~1'!'RpI.S~Li'I'IES <br />PAGE 4 QF 7 <br />PERMIT <br />FOR C[JTTING A,ND WELDING <br />~PITH P4RTA~L~ GAS 4R AIZC ~Q~PN~N'T <br />Project No: /7"1 ~'f~l1i~ ~ ~J~'~= ~Y~ /f~~ <br />Name of Cottb~actdr's Firm: ~/jJ~S T: .~/t~~' . <br />Date: ~ /.~/~ ~--~'s 7 <br />Building/L,ocatian: <br />Work To Be Done: <br />Special ~ec~utioc~s: <br />Fire V~atch Req,uised: yes <br />'t'he location whae the work is to be performed has been uaspected hy the authorized ~epresentatiye of the <br />Co;otractar. ~'b~e Contractor has takcu a11 rcqutred precau[ions and bas authorized the execution of this <br />work in acvordance with Contract uirements. <br />Signed: '"' <br />(Contraccar ~ndividuai Respoz~sible for Authori~ing Hot Work) <br />Permit E~pires: ~ .o~f ,~`~"l.~ _(j}~te) <br />~ <br />Tirz~e Hot Wox~C Started: ; 1~ Time Hat VVark Campleted: ~r~~ <br />~1AL CHECK-UP <br />Work area and alt adjacent ai~eas to whi,ch sparks and heat tnight bavc ~pread (incIuding floors above and <br />helrnv and c~n c~,pos~te sides of watls) were inspected 30 minutes after the wark was compieted and were <br />found itre-safe_ <br />Sign~l_ <br />(~ott~'actor's Firc Watc~) <br />(Form - Page 1 of 2) <br />