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tCONTRACTOR'S SUBMITTAL TRANSMITTAL <br /> Submittal# <br /> LGILL ASSOCIATES,P.A. Owner: <br /> ❑ 1240 10 Street Lane NW,Hickory,NC 28601 <br /> ' Address: <br /> IDate: Engineer's Project No: <br /> Project: Sec.Reference: <br /> Contractor: Drawing Reference: <br /> ' TO: CONTRACTOR'S SUBMITTAL NO: <br /> (Check One): <br /> ❑ An Original Submittal <br /> ' ❑ A 2nd Submittal of (original Submittal No) <br /> ❑ A Submittal of (original Submittal No) <br /> ' ATTN: ❑ Product Data for Information Only <br /> FROM: ❑ An O&M Submittal for Information Only <br /> ' Item# Subject of Submittal/Equipment Supplier Equipment Designations(s)/Specification Section(s): <br /> 1 <br /> �mplete Either(a)or(b)below: <br /> (a)We have verified that the material,equipment or other information contained in this submittal meets all the requirements specified or shown <br /> (no exceptions). <br /> (b)We have verified that the material,equipment or other information contained in this submittal meets all the requirements specified or shown, <br /> except for the following deviations(list deviations): <br /> ' Notes/Comments: <br /> By this submittal,1 hereby represent that I have determined and verified all field measurements and dimensions,field construction criteria,materi- <br /> als,dimensions,catalog numbers and similar data and I have checked and coordinated each item with other applicable shop drawings,equipment, <br /> ' trades and all Contract requirements. <br /> Signature of Contractor's Authorized Representative Date <br /> 1 <br /> ' January 2014 Project#13.01126 01330-12 <br />