APPROVALS DATE COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Ught Standards
<br />S pas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding i Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />loof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Solfit Rouoh
<br />Ceilin gs (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter ,-
<br />FINAL E-73-tE I t-o-f s,u2.6{€2
<br />Notes, Remarks, Etc.
<br />^tl ^t <2
<br />OWNER BUILI}ER T'ELCA RATION
<br />I hcrcby ,rfinn undcr pcn,lry of p.riury rhd l d cx.nfl fnnn rhc Co.ternr' Li..nk L:s li,r rhc rollowing rc,en (S( ?0:11.5
<br />Busincss lnd Pron$iotr Codc) An, Cily or Counly which hqun.s a FJnir ro consdcr. trlrcr, iml'rorc. dc.nlhh nr rc0rn dny
<br />.rruch. prior b ns tsudcc. alv' equt srhc orpliclnl fu such pc,mi lo nlc i siErcd {lrcmnr rhar lro, shc is licen{d pu^arnt
<br />ro rhe [ovisions ofth. Cotrr&rois Liccncd L{p (Chapr$ 9, connrrn.inB wirh Sccrion To0o ol Divhion 3 olrhc Busincss 0nd
<br />Pmr.ssionsCodc)orrhat hcor sh. is crcmp hcrc(mn und rhcl,oris {or rhc allegcd cicntprn'n Any vinhioi ofSeri.,n 70.1I t bt rny
<br />applic0trl foraF nir sulrjcchlhc spplicanl ro a.ivilNnaxyorn.r 'mrcrhan fivc hundr.d doll,n (5510)
<br />-1,
<br />rsowNr.frhc l)n,t iiy. rnu.tusnrlycotrkr.rin8 sirh lic.n\cd contn.bN tJ c.nnrud rh. pir,jc.r lSN.l(}14. Busnc$
<br />and tt r6si,D Codc: Thc Conrracrols Liccnic Las d.c{ nor spFlyro anowncr olnnrpc.ry $h{) brild\ or inpn,!8 rhcr..n.
<br />itrd sho.otua.Bfdsuchtsjc.rwirhrCodnrkdl)lic..\cdpu^Mnirorh.ct)nta.ktrsLi.ctr€Lrw)
<br />I an.x.n1pr xndd. Sccrio
<br />I hcrchy {f,tn undcr Irmlry oi pcrjur} onc oil l
<br />l havc ad will rtuiddi,r r C.nirrca.c of Conscnr h Scll l.\nrc for sorkds co'npcnqdriotr, 0s ptutid.d for by Sdion lT{n ot rh.
<br />bhor c(ic. nrrh. p.rfodum. ofihc wo* lr {hich rhc tsn n issred
<br />_l harc ond will noi.loin woltcn comFnsllion insurancc. rs rcquiGd h, S(r ion 3?(n of rhc Llbor Codc. fo, rhc pcrlortuftc ol
<br />th. uort forwnichlhn p.mit is hsucd Myworkc$ conpnstion insumNecnicr {t policy trutr$crde
<br />I ccdifrihrr in rhcrcrfornBnccofthc work for shichrhk p.rnir is hsled,l shtrll nor c'nrloyrnrp.B.n in rnymannut
<br />so aslo h.ronr subjccl ro rhc worksr compcnsmion l.ss olC{lirdnr. and aBrcc rhd ifl si.uld hcconr tcclloihc
<br />wo cn' mnlpcnsorion pmrisions oi Scd ion l7m or rhc tjlnr C'od., I sh,ll. fonhwirh dnnnly $ilh rhos po ion
<br />IVARl\iNCr ts.ilurc ro ecnr. workc^ .onI. \arior Nv.rugc is unl.wful. ,rd sh,lt suhF.r in cmllo}tr b cnninal Fmlricr rlld
<br />civil finc\ u! k' oft hundrcd rhouiand doll.s ($l(X
<br />SNlion 1076 olthc btsr Codc. i.icr.sl and rturmy s
<br />nnp.n\.rion. drnrgcs as nrovidcd lhr rhc
<br />rllnmnnd.r ponrlrr_ol Friurrrh l rn,
<br />I)[!t a&tr.l!]ur cr pn,lision o{Chrprdr 9(conntrncid! wirh Sc.rbn 7fiD) olDivhion.l
<br />of rhc tlusirc\\ !n,l ltoltsi(,r Codc- mJ my licctr\. i\ ir Inllhrcc rnacilrc,
<br />SO!$f,I]IIIONIENDIM;.dGTNII
<br />I IrEby rmnnnn'l.r p..ihy.rFrjury th nucii0.on{ru.ridnhndingagcncylorrhcp.riofltutr..ofthcworkforwhichlhisp.nniris
<br />i\sucd (Sft .109?. Cir C )
<br />AIPIICANLII}:CIABAIIAN
<br />I Lrty ffi'n undcr n mlry of Frrury onc .f rhd loll,){ i'r8 Jd.l rdn,ns:
<br />Dcmolirirn Pcrmirr A\lf,no\ Norificarin Fcd.ralR.3rhri{rns llirlc 40. Pan6)
<br />R.qtrnc(l l.crrcr.l Norillcrrnnr
<br />I ccn'fy rl,rrlhc lrdorrl rclrhlnnn reS rdinI r\h.{o\r.tr(rrlrr oor q,tlicrhlc () rl
<br />asNrocompl, wirh dllchy$d county
<br />ilcs ofrnh City Md Cotr.tyro.nr.r ut).nih.
<br />,",", {-Za-Z4rB
<br />l.cn' vrhrtlD!c4idrhi.*,'-,"*,"r s,\ y'*. .r"r
<br />oha,cm rn.dxt'orr
<br />s rpplic ion aM nrrdhir ficih)vc irlnanorion ncorcd I
<br />con{n'crnnr. {nl hercby ulhorizc,crrcsclrlrr
<br />fuqoy'z/t
<br />ELECTRICAL.INSPECTOR RECORD
<br />ID/SIG.
<br />I. rs osmr oI lhc ,Drcny. or m, enrlolccs qilh wr8cs rr lhcn sob compcn{(ion. r'illdo lhc *ork u{l rh. (Mrurc is ior
<br />iflcidrd or oltarcd fir {]c (Sm 7M4. Bu\iic\s ani lh,icr\ion\ Cqlc: The Coftacroi\ l-iccn\c l,r* Joc\ nor arply b rn owmr ol
<br />rhc pn{.dy who hnik,(.r irprovcs rhcBnr. .trd shod($qrhsort hi'n\clforhcrsclforthnntBh his.rhc.otrncmployc.s.
<br />providdrh skl, i'nnn,vot s d nor inrcnd.J or on'cr.d i(tr vlc li: holrvcr. rhc hu ildiry or i'Ifidt.b k $ll] wihi'r n s FJr
<br />orcompLrion-ilx ( )sncr lluiklcr will hlr rlE hu cno, ptrJvinErhd hcorshc dil nor buil o. in{'rx! rh. popcny rbr rhc pulxE or
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<br />L,rr\..\r,ntY,
<br />Lendcr'. Nam.
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