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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundino / UFER Gl*hP t netozr*lrl -
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouoh)
<br />Rough
<br />fatffiService Ir,4eter ?t'mhd IM
<br />FINAL ffs,'lt(fry/\v*
<br />Notes, Remarks, Etc (
<br />OWNER BUILDER DELCARATION
<br />I herchy rl6rn nhdcr,cnrl', (,r p.rjury rh{ I !o crcofl t'rnd rhr C. ttrdom Li.cnsc tjw lorrhc followin8 rcasn (Sc..70315
<br />Busi.css md Piolcqsion Codc)r Atry Cny or Coxnly whkh icquircs l,)cnnit lo consldct. llrcr. imlmvc. dcmlish or ErEt nn,
<br />strucru.c. Fior b ns issuancc. 0l$ rcquncs rnc 0mlicrd r'or such p. ri o tilc a si8red (at.mnt rhoi hc or she i\ li(n{d p,ruanr
<br />ro rh. In,vhbnl orrrr Co.ltn.roas Liftns.d tjw (CMfl.r 9, Commcn.in8 qilh sc.rio. TtDtl ol Divkion 3 of ltc Blsines\ lnd
<br />Pmlisions Codc) or lh8' h.orshc hcxcmlr thcrclrcm r.d lh. bnsis lor lh.ollc8edcxcm ion AnyviololionofSc.rhn?0.rl5hydny
<br />apnlicant t'or a pennit subjcch lhc amlicanl ro acivilp.mllloltr(, nmrclhln lilc hond.cdd.llar ($5(x)).
<br />-!.
<br />rs o*ncr ol
<br />'hc
<br />pnrJEny, or nry eflIkiyecs wirh sr8cs as rhcn vnc conDcn\irnnr. sill do rhc *sk ud rhc dtuh n ftn
<br />inicdc! orofcrcd n, s0lc (S$.71X-1. Brsin.s$d Pron{ions Codc: ThcO)nta.tr's Li..n.c ljw docs nor .pDly t) un .*ncr ol'
<br />rh.pn'Fry wtu h{rlds or ilqn{,vcs rhttr)n. ud *h) d{rs sch w)rk hnnscllor hcnclfor rhronEh his or lEr own cnDl,'yc.r.
<br />Drovnbd rh.r n,ch imp&rcmnF.rc ml inrcndcdorofcrcd li. suh ll. hoscycr rhc huiunrE or imFovcmnr is {'kl wirhin nc trir
<br />ofco,ntkrnr. ft O*ncr Buikrd will hivc rhr blrdcn of pn,viq rtui h. or \h. dii mr buiki or irqmrv. lhc poFny lor ltE purll)c .l
<br />l.isoptrqolrhclmpcny.amcxclusivclrcontrrclin8withli.ctrscd.onlrrronro.onrlrucrrh.Irojei(s..?ur.r.Busi',csrd h.lEisbn Codc:'l'hc Conk,.ktr s t.icrni.liw doc{ nor!rpl,n,,iow $.rrr.tcdyvho buildsor iDtrovcs rhc.con-
<br />a.d who sntn.( r.r su.h prcjNh ailh , Conl$do( s) licctrs.d trnuanr ro rhc Conrrlcrols t,iccnse tr$
<br />l.mcx.m und&Sor ( ?-/''a,n 4
<br />t)t ( r \R \ l l()N
<br />I lNrch, ullto utrdcryrnillyol'
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<br />hrvc ond willnuint0in workcr'coflrp.nsari insurlncc. !s rcltuircd hyScclion.lTmofihc hborGdc. r(rrhcrctfolnDNcol
<br />rhc wolk nn whth rht |x nil i\ i\su.d My $ork.n con,rcnsrlion iNurrn.c .ricr ind ,x,li.y umb.r m:
<br />I.cdify lhdr i. ihc p.rtormn.c ofrh. work fitr whi.h rhk F.nir is r\sucd.l lhrll nor cnDby any pcron ir rny nrnncr
<br />s $lonronE subjd nrrhc woikc.( conr.nsar n,n hwsofc0lifonrir rnd lgacrhrr ill sbuld tt.on. iubj..r rorhc
<br />wo c^' cor.p.trv ion Drovnn'N ol Satnnr 3700 ol rhc Lftor Codc, I \hall. n'nNi h conply sirh rhos fn,viion(
<br />IV RNIN(; lirihk n) {on so'k$J.u rpcisrrtr)i "*;(Ju,'. -u *,, *,n.
<br />.ooql. 'n ,,idlDn r, rhc c,"r or.anpc
<br />rn cDdoycr !' ci'ninxl p.fuhics a d
<br />nr rior.lrtr$Fc\ a\ Fnivnlcd n&rh.c'!il fifus ut t, onc hrndrcd rhdu\rnd dollds (\l
<br />S.ctoD .1076 ofrho I-rtxr Codc. nnrr.! r d 9*/
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<br />Ir'( I \lr \ r l()\
<br />I hc'.byillirnru .r Nrlryol juju,yr Un licctrql utrd.r pmviliin, ol ( lrpicr 9 (& nN .irt wih Sccri,n 7Ul,) oi l )iviriqr 3
<br />of rhc Busincs ind Pmfc$ionsCo c..trd nryliccns n ir tul,lorcc irn cflacl
<br />CAISIBIJCIION!I,NDINC.&AINCI
<br />I heruty all-rnn undcr pcnrltyorFrjury rhar lhsc is a onslruclhn knding lg.ey ror rhc p.rr.rnun.c .l I h. work rbr which rhis pcrmi n
<br />issucd (S.c. 1097. Civ C.)
<br />il-l]Ill! NL]:I!! BM!!
<br />ly wirI rllCilyrtrd Coun,y
<br />y,nd Counlyroc cr x|snrtE
<br />Ttut4ss 7 -i6
<br />Ivleler Release
<br />4nz--/'
<br />Ihrlcaltw,llnun ain.C.rriaf,arcolCon* toSclf.ltrsurclnworkn.onqrcnsarion-astroid.iliorbySc.rion:1700ofrhc
<br />tjhlr Ca1c, f.r rh. pdinlmn.c of rhc work nr whi.h rhc pernrir i\ hsucd
<br />(irnrrn.rrr
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