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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCAf{'NON
<br />I h.rhy dfrin und( l.n,lry.r lcrjury th0t I am cxcmtl ftum rhc C.nrncroF l,iccnsc Lrw r.r rh. rolbsinS tcav,n (S.c 7031.5
<br />Busnrs .M Profc$ion Codc): Any Cn, or Colnr, *hich rcqutcs ! Fmir b .on(tu 1. nlrcr. in!,ovc- dcaDlish ur rl]trtr s;y
<br />sldcrurc. llrior to irs issuarcc. ah.,cqliEs rhc applicanr au slchFrnir k, tllo x si8.cd s,rcmtrr lhar tror\hc is li.c.sd puNU.
<br />kJ rh. pmvisn, orrhe contr.rors Licctrscd Llw (Orprcr 9. CoDnncncins *irh Sccrion Tlxx) or Divisioo I ot rhe Blsiic$ ad
<br />Pdcssions Codc) or thrr tE ot she Icxcmpr lhcrcl',omB rhc h\i\ lnr rh. rllclcd crcnflion An,viololio.orSc.rionT0.]15bylny
<br />a,]pli.!nr I{n r pcnnir suhj*t rhc ipt,li.nnr k, d .ivil t[n,lry or nor nDro rhm fivc huod,cd doll6 ( S5fll)
<br />l. .s owrcr ol thc FrcItny. o. my cmplorcc\ sirh elscs a\ I hct $h d,qf,n\{ion. will do ltE wot url th. srNtm n ml
<br />inrcndcd or orTcrcd for $lc (Sc,70{4. Busitus ud Prof.$n,n* Codc Thc Clontoctoi\ Lkcne kw d@s nor,p/y r. M owncr nl
<br />rhc nmFny *ho hlilG or inlmts rhcmn. uxi wl[ drs skh wo* hnnsclior hcrrcltor rhmueh his or hcr o*tr cmPloyccs-
<br />providcd rhnr such imprcsnrnls m mr inlcdsl or oftcni l'or eh ll ho$rwY, rh. buiklnr8 or in{mrcmnt is sld *irhin om Fr
<br />or.onplcrion. ihc owncr Buildcr willh!rc th. ltrrdcn olpnvinS rhd lE or sie did mr bdtr or nnpow dE ImPcny n ric I rF*6r
<br />L ns owmr .r rhc pmpcny. rmcrclusivelrconrociins wilh liccnrd conka.t E ro .onnrucr rh. Proj.tr (S( 7Ot4, Bu\ilcs
<br />and Pmfcssion Codc: lhe Contlckx { Li.cns. Lw iloca nor tprly ro dn owncr olpn'pcny who build\.r inpmvcs lhcron.
<br />and who.o a.rs ror su.h nrcjccF rith u Conrr!.rod r lien{d pu^unr h rhc c.nrNror s Lien* li' )
<br />I rn cx.nr u.,l$ S(r
<br />t!]]-Bxll8s:g)Itf[Ns rI9N
<br />ut:lLi-BtlllaN
<br />I hdcbyrlltrDuDlcr Fnillyolfcrjurr.ncortutulhsi'rg .clxrrlo0s
<br />I hDrt turl sill tuinrrln . Ccnifrrte oI Cons roSc,llnsuiefitrwo.kcis.omFnsdn,r.rs pmlidcdrorbysccrion]To0ofrhc
<br />l,txn Codc, rbr rhc ,cdomM.. of thc w.rk tu whi.h rlrc pcnnir ir issued
<br />lhavc nfd willnrnriin sorkcr\' .omncnsrri,,n in\trxncc. r\ r.qrncd hyScdnn l7(xrotrh.lrhor Code, f{tr rh. |x li,nMnccfl
<br />lii,:iu;'I Mysorlr^'.o iFd\nri( irn0rnr..{'rl.rrrl|rnl.y
<br />CcJl^ \Ar.
<br />e .\.\
<br />I ccnily lhdr nr lhc pcnniin0mcofrhc worL lirr ehi.hrhi\ p.rnrir n isucd.l shall not cryloyanyPc.$n indrymNncr
<br />$ r\tu hc.o'E srhi.r b rhc worrcrs .ompctrsdion h*s oiCrlif.mi!. nnd 4rcc rhd itl \lnrukl hc.onE subid h rh.
<br />*orkcN .r,frrcn{rn,n ovisi.ns ofScclion lT00ofthc LrlFr Cdc.l shdl- ranhwirh..mlly *ilh tho* pmvhn,ns
<br />WARNINC l{ilurc b ccurc sorkc^ conn n\dn r.o\cn8c is unhqrul. rnd snrll\ut,cr rn.mrlo)tr ro rinrinal Fnrlrtund
<br />cilil fnc\ up ro onc hundrcd rhou\rtul dollr^ (S100,(XX|
<br />Secridr l(r?al ol rhc LrtDrGxle. inrrrc{ and [omy's fccs
<br />) iir rddirii,tr ro rh. ro( oI c ddtrugcs as lmvidcn for rhc
<br />SJrLl4.--o-? ?01s
<br />lfil$t"
<br />**il]& _0 9
<br />CONSTRUCTI(TN LDNT)ING A(:i:N(:Y
<br />I hcrcby atrirm xtuicr FnallyofFrjury thol lhsc h r <,nnrudion lcndi.s ag.fty for rhc p.formmc oflhc wor! Iot whi.hfiis lErnil is
<br />nsucd (Scc..109?. Civ C )
<br />AIPUCANLDECI.A8AUAN
<br />I tm:iry atrm undcr Fnalr, of F jury om of rh. lollowine dc.hrol ions
<br />o.rmlirion P.rnils.Asbestos Norificurion Fcdcrll Rcgllari.nr (TnL zO, P{n6)
<br />R.quircd Lrl$of llotifrc! on
<br />-l
<br />ccnily rhrr thc fcdcral rcsnlari{rE ftgsdihe Nb.slos rcn$vrl arc nol lppl
<br />,/..1,1r, 'u, ,n*.,-o,nn,nn '.,','!-ifir\Jid Slrrc tf,tr\ relnrir! ro hu
<br />isi)rc nf,nri{nrJ pR,n dy fi, ir\tc.lr,n
<br />Applicnnt or ABenl Slanutur.:
<br />n,n xnd (arc rhi rhc rh,Y., rare ro crmply wirh allCirytrtrd county
<br />hrivcs ofrhh Cnt lnd County ro.nrc! D!.n lhe
<br />Pern r€e nore(Dnnl):a /,,
<br />.1 !018
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Rough a/q."/lx sb ro1
<br />Service lvleter
<br />FINAL qlltt /l+:Nq(
<br />Notes, Remarks, Etc
<br />Communications Cable
<br />It/eter Release I hcrcby lftirn undc, p.noxy ol pcrjury lhal I !m [ensn undcr tmrisbn olCh'prt. g (com,Emi.8 with Sccrion 7000) orDivhion ]
<br />ol rhc Busimss !*l Porcqsi.ns Codc, ond my licc.* n in iull forcc rn cif(r
<br />tind.i\ Atldrcs.
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