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ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER /-22-?fu\r* /r, Torqueinq Sub-Panels Air Condilioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilinqs (Hard & Soffit Rouqh Ceilings (T-Bar Rough) l+?-?.c oord t, Rough t-L?-b 'd9i6 lo, Service Meter FINAL \-an-'2,frrn* lo, Notes, Remarks, Etc. OIVNER B!ILDDR DOLCARA-I]ON I n.rcq amrm und6 p.mlly ol p.rjury lhal I @ .rdpr Eon rh€ Conta..ou Licmc Law for lhc lollosing r.en {s(70ll5 nusin6s ud Prof6sion Cod.): A.y Ciry o, cou , which reqrt6 a p€rnil to connrud, alld, inprov., d.nolish or rcp.n y srruturc rior lo irs isudc.. rlso cqun6 thc applicanl aor such Fmn lo nl. , riln J saldor tlDt h€ or she is licdsd p6uDr ro rhc pmvisioB of rh€ Contmcloas Licens.d lr\ (Chapr6 9, ConmcncinS \rilh Sclion 7000 of Divtion I oathe BNin.s ed Prcfsions Cod€) or lh.r heorsh. is dcmpr rh6.from.nd rhc hsis for thc allcscd.roplion Any viobrionoasalion?011.5 by eny .pplicadloraDmitsubj<tsrh.rpplica.rloacivilp.nalryofnotmolethanfivchundr€ddolle!(S500) I, * own€r olrhcpro|.d}. or mycmplo)€ rirh wlg6 6 thcir eni conpds,rion. $illdo th.\olt md lhe sIfocl@; nor inr.rl.d or orlftd for sl. (S< 7044, ausinBs and Proa6sions Cod.r 1 nc ContRctois Licosc L.w do6 nor apply ro on oNnr ol theprup.ny wno builds or imprev6 rh66n, md eho d.6 str.lr wot( himselfo! hsslforlhrouh his.r hd owh cmplolcB. providedr[dsuch imp.orercnh e lol i qd.d or or6cd ror eL. I[ ho$ e 6. rhe buildin! or impo onent ir eld within on. ]w of conplclion. rhc oMr alildd qill ha!. lhc htrdd oflrovin8 tlEl he or shc did nol build .r ifrprcv. lhr pmlqly for thc pulln$ of I.6dMaof rh.propdx d.xclusiv.lyco mdins with licG.d codh.'ou ro .oddcl lhe trojal (56. ?044. 8608 nl PhLsrion Codc: l'h.Comd.roas Li..m. Lrw do6.ol rpply!o u own6 olproFny vho boil& o. inProvcs lfison. and who contEcrs aor suh Fojc.ls Mrh a Co Dclo(sl licsql puumr ro rhc Conlraclois l-icdc lr*) I dn ddnpl und6 Selion MtrE8l-(AllIDllAIrAr DICI^AAUqI I hcrub! lminr trndn pmalty olp6jur' one of lh€ loLloNins dslaralions: r h. \o,l lor which tnis Pomi E i$udl M, *0116 .oEp.nsdion insurecc caricr $d lolic, numhd dc: c-i-, \,r\ L-3 C o ""r.rN,.I-IJ3-3).bLL 6 -a3.}d I..nifyrhal nrrhcpdfor.rnccoflhesolk for $hich this p€.mir is issue{ I shallnor dnPloy ony p6on inanyndnt so as to b€corlc subjsr ro rhe Nortd comt hsartun lo$s oicaliaomi., afld asre lnai if I shotrld h..om. $6id t.ln. $!rk6.onlc6alb.prolisiosoas.c{iotrlT00ofth.L.borCode.lshall.ronh$nhco'nplywirhrh.s.Fovisions ' *ARNINC lailue lo $cu€ *ortes'cotuiiosarion cdvms. is unlaNlul. and shall subjcd .n onphyd ro dnninal lEElti6 ond civil fin.s trp to onc hundr.d lhousdd dollm ($100.0001. in addirbn lo rtu osl ofco'npeoet'o!, daiales d Prolid.d a.r rhc sccrion 1076 ofrhc l-.b.r Code. intsGr od alomelt 16. - t'93- \o I h6.by aiinn undr pdaxy o I Fjor, thal I m unds Dmvision ofchapls 9 {commo.inc snh Sdion 7000) ofDivGion 3 of th. BusiB 6d Prof*ioa Codc. a:d my lic@ i! in tuI aoe dd.rel. Lic.ns.cras: v'lo atr1 / 2- i-as - L.A ,^+zt caNiIalquQIl,ENDlNclcExcY I hcreby amrn undd pcnax, oa pdjory rhd th6. h r coNlNction kodins asdcy ror lht poaommc. oarh. tort fo! which lhis Fnil i! issu€d (S(.1097. Civ. C.) AIEIICANLPECIA3AII9! lMy!flimu.dd poalry oipdjury one of lh. follo$ing d(ldarions Dcmolirion PdDns-Asb€sros Notificalion F€dral Rerulaxonr (Tnb 40, Pan6) I c.n iiy r1*r I I'a\ e rcad lhis applicarion ant srare rllal lnc ib(,\. i.a.martun h cond I aBre ro comply rvilh all ciiy and county ordin!.c6 d Sral€ Laws Elaiis to buitdiis coBrtudion. ald hcrchy aurho.iz. rE e.'lativ6 oflhis Cily dd Counry (d dl6 !F. th. abovc nrenlioned propcny for ArDli.nnl or AEenl Sirnrlu 4_Sr , -l? -'Lc Transformers Meter Release --------r------ I