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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE IDiSIG.COMMENTS OWNER AU(,DER DELCARATION
<br />I h.rch, atltn ond$ p.n.lry ()l pcrjur.v rhar I d crcnror tion rh. Conlr.uroF' l-icn{ Irw lor lhc lolnrwine r.,q,n 1Sc(.7011.5
<br />Busin.rs ,nd Pr.tcsson Codc): Any Cny or G,unry wh'ch rcqn@s a plmir h con(ru.t. rllq, im!ruv., dcmnsh or rcP{ir .nv
<br />{ruclur., l,ktr kt ils hsuancc, at\o rcquncl Ih. !ml(.nl br ui IE hir b lik r si3rcd (arcmnr rhat h.ot sh. n lienscd N6uMr
<br />ro rh< ptuvra,nl.frh. Conrn.lff s Li..n{d Lrw (Chiflcr 9. Commch-'D3 w h Sc.rion ?0d).1Divtrion I ol rh. Busn.sr 3nn
<br />PtuL$btrsCodc)urhrr h.or shc rcrcm lhcrcliom and rltr hNs nr rhc al,cScn cxempii,,n Antvnlrlnnofsftri)nT0ll shvrnv
<br />applic,nr for a p.mn suhjec lhc lptliclnrb,cilrlr.mlrydt nol nnrclhan liv. hundrcd dollus (5500)
<br />L as owncr of rhe p$rny. or my cmPloyces virh wascs as rncir $k .omacnsal ion, wiu do rhc wdk .nd thc slturm n B
<br />ide,rlcd oi orfrr.d ror eh (SN.?044, Businc* Md Pmr.*ons Co.lc Thc Conrocrois Li(ns L.w 'iocs nor apply k' an owrc! ol
<br />th€ proF.ny whot ilts oi m{mEs rhcNr,ft1,tx, Jcs $*h u'* hms.lfo, h.r{lfor rhoueh tur orh.roM en{lk,}ecs
<br />trovidcdrhar su.n impotmnts N mr ntnlc,l o. ollircJ fir saL. Il hEq, rbc huiuh3 or nqmEmnt is $ll wirhin oN )te
<br />ol conplcbn, lh. Owrcr Buil,cr will hrE rrE hnnlc,l ot lovin8 that h. or sh€ drl not budl or ir4t * rt ln)Fiy for ltr Plqr\c ot
<br />-1.
<br />rs.wncrol rhc pmpcny, r'ncx.lusvcly.ontri.ring w h lcenrd conkd()n lo con(n'.r rh.8,jccr (S.{.7044. B!!nc\\
<br />a Prrtsirf,Cod.r Th. Conk&tn s Liccnsc llw docs norrmly r,)...wncr orrtuFrly Pho huilds or ituporcs rhcrcon
<br />rnd who conrmuk tr \uch I't'j..k wnh. conrado(n li..n{'l prBum h (hc Conr!.(hr's Lic.n\. Lnw).
<br />I:m.r.hd unJcr sc k,n . B. & P.C. n! rhA r.")n
<br />!!988!85:COIITENSATMN
<br />uEcl,aEdlra!
<br />I hcr.hy all'irnr unds pcnrlry or l).rjury onc I lhc Iilllowins nc.luarioht:
<br />-t
<br />hrw ,rl *ill minrtin a C.nna.lc of Consnl ro S.lll.srE for *.tkcs d'spcBari,n, 6 pmvidcd for l', S&rir. '1700 ot rh.
<br />L2bor Cono, tor thc pcrlirmcc of rh. wotk ror which lhc pcmir is isrucJ
<br />y'u*,.a will nu'nr n wnrkc.s.otr,p.tr\3rion 'nsurah-..
<br />r\ rcqurcJt'ySR..rR,n.l7(X,ollhct 'o!(i c, tor rh. Pcdnnm..c ol
<br />trslrtr,n iNurrnce ( i( turlFllryrnn,n.r u.:
<br />l.cnnirhrr$lhc lcrlornuncc (,lrhc qork itr whrhih^ |xrn,t '. F(uc.l,I {hrll nor cmploy rnv ll(r$. rn a.v snntr
<br />!,3\k,hccom.nrh,c.rk,rhcwort(criconlth{rirnlawsolCilrt{s.anJr3r..rharrllsl'in'ldh.romruhjccr!)lhc
<br />wod.ri.omr.nsardnon,vionrolS.crtr,d17(,(lolrhcL*uC*lc.Ishall.i"nhwilh.omplywirhrho\cPnrvisbnr'
<br />pcosarn,n cov.r4c ii utrl{wlul
<br />trnJ.r !.trilryol Brjttryrhr I anr l(.n{,lun,l.r tn,r'!"tr ol , (.onmtum8 wnh Sccr on 7(xD) of DrvI\i,)n l
<br />or th. Rn$.(. 1Pnr.si,nrCodc ast nv lr.nr t
<br />'n
<br />lilll lnr..,fti rif.d
<br />b
<br />I h.rchy anirm un'lcr FMlryolFriurythd rncrc Ls. $nslNcrirn Lfrli.s d!. ylortn Fft,tu. orlh. wck tur *tichr,ir Fmit (
<br />hsucd (Se. 1097, C'v, C ).
<br />AIIUCANLDECIIIEAIIA!
<br />I hrh!.nim untlcr pcnrh y of Frjury onc orrhc 6ln,win3 dccl@rilns:
<br />D.tunnioo P.r6leAsb.(os Norifi.alion F.dcr,l R.sxhrons (Tillc 40. Pan6)
<br />_Rcquircd lrtr.r ol Noliliali'n
<br />_l,.n'i! (hd( I l.J\c h rh'.,'||l',rtr,nrDlQhrh.rrhc nn n( rcd l,Ercc b.omplywihall Ciryud Cotrnry
<br />ontinr.c.\ and Starc L.vr Elarin3 I
<br />rtx'vc mni0icd pop.ny ir
<br />,\pplicHnt or Atrnl Sirn{l
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Lighl Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondino / Groundino i UFER
<br />Translormers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Ivleter Release
<br />Rouqh
<br />Service lvleter
<br />FINAL \-L1-a \\tltl
<br />Notes, Remarks, Etc
<br />Dsle:-
<br />Lrnl.i. Ad&.$:
<br />-
<br />I ccn ilh{rrhc ridcralr.8ulahon\ rc3lrdin! ashcdos.cn-vll drc nolnPfl!{t'lc tu rhilrtuj.lr
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