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Mar 14 11 07: 41a Elite TV Contactors 1209461 -342 <br /> IV Air <br /> W 77d <br /> UST SYSTEM RETRORT OR REPAI k <br /> (Submit minimum of 3 sets of plans&applications as originals will be retained by D) <br /> 11. Site map enclosed? YES(] NO[] <br /> 2. Submit copies of ICC Service Technician and/or Installer's certificate and all ri; 'iufacb01W.train sates for <br /> each person installing or testing any componentthat is repaired or replaced. nsure a Copyealth <br /> and Safety Plan" is available on the jobsite as required by Title B. "t <br /> 3- Detailed description of work to be completed. List components to be repaired ir replaced and attach a diagram <br /> drawn to scale showing location of repairs and/or replacements. If repairing a omponent, describe how this will <br /> be done. (If adding piping, UDC's, or other LIST equipment, or performing tank top upgrade, use the LIST <br /> Installation <br /> in tion Application pages 4-8 as necessary for a timely plan review): <br /> xj 0-nd <br /> a.t lw(0-7. Qn Ind ! "id <br /> 4. List of equipment to be used(Attach manufacturer's specification sheets showh .1 third-party approval): <br /> 79`1390 ­VU <br /> V fil 3 <br />