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APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torquing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release F.RED <br />Rough FEB -. I (Ulr <br />Service Meter ,q6 356.6(7 <br />FINAL <br />Notes, Remarks, Etc. <br />OM6'Buildcr Daledo. <br />I hcr.by .ffim undc. Fnalty of p.rju!, $al I d ddpr tm th. ContB.ro6 Licosc L.w for rhc followinS Eaon G@.701 I 5 Buin6 <br />md Profo.ion tuc) Any City or Couit, which aquir6 a pmir |o coNrlcr, altd, inprov!, d@olirh or r.pan ay rtucrur. Fid ro iE <br />i.rnDcc, .l.o rcqliq th. +pli.ant fs such p.mn b 61. . Ei8n.d slard.nr thal hc or sh. is liccnscd puBual lo lhc F.ovkiG of thc <br />Conr&ror'r Li@nscd Law (Chapt r 9. Commacing wirh S.cion ?00o ol Division I of lhc Busin$ ud Prcfsions Cod4 or {ut hc m <br />ih. is cx.mpr rhftf@ ad th. bais f6 $c lllcg.d dhprion Any liohrio of S.ction 701 L5 b, My .ppli@t for . p.mit subj.crs rh. <br />applicor lo . civil p?n.lty of not hoE lhe fiv€ fiundr.d don6 (lJoO) <br />_1, s o*trcr of lh. pop.rty, or ny .mploy.6 *id *ag6 a rhcn solc coopcns.tion. will do tnc vork &d th. itrrctoc ir not inr.nd.d <br />or oiT@d rB salc ( Scc 70,14, Burins sd ProfBions Co<L: fn. Co.turofs Licdr. La* do4 n6l .pply to an oMq of fic proD.ny <br />who builds or improv6 ih.@n, Mdvho dd such wort hims.lfor ha.lforrhrcu8h his or hd own cmploy€s, r,ovidcd rhar such <br />improv.moB @ .ot inlc cd oroif6.d lds.1..Ii hovcv.r, lhc building or inpDv.nat is soldviihin on.ydof compl.ton, $c <br />Own.nBuildd willhrv. th. burda ofprovin8 th.t h. or!h. nol build or ihprov. for fi. rurpG. ofsal.) <br />_1, d o*ncroft. pro?.ny, m dclsiv.ly @nr&tin8 wi$ liccnscd .o!_ad66 io consnucr $. prcj.ct ( Scc 70!a.B6insed <br />Pror$ion Codo ntc Coa&tocs Liccoe L.w dc .ot a?pl, ro M owid of p,opcny who buil& * imp.ov6 6s@n . &d sho <br />conh..ti ior iuch pmj4ls wnh a CotBcto(, li@ned pqBudt io rh. Conr..br'! Lic.n& Law ) <br />_l s cx.mpt undcr Sccrion <br />]IABSEBS-CAMIEdIAIIAN.UECIA!4III)T <br />I hocby lffim und.r plnalty oa poju.y oi. of th? followinS d.clr.tionsl <br />_I hay! ed willm.i.lair aCdificat ofCons.nlto S.li-lns!r. forvork6 comp.nsslion, a prcvidcd for by S.clion 3700 of$c <br />Lalor Codc, for dE Pcrfmdcc of i1'. wdk fo. vhich tc p.mir is issucd <br />_l havc ed will nlincin wotcE' compcnsotion insurac., s rcqutcd by Scclion 3700 oi thc Labor Codc, for rh. p.rf(m ccoflh. <br />work lor which this pcmil is isiucd My work.B' comp.nslion iBuraa csi.r ud policy numbs m. <br />lolic, Numb€: E,t ic: <br />-4(*nn, ,n* - ^" <br />b. cmplctcd ifrh. pdmir ie for On. hundrcddolla 15100)o16, <br />rh. Labor Cod., I rhall, lonhwnh <br />dollm (1100,000).in addni &m.86 6 prcvid.d for lh. S.ction 3076 of <br />I-ICENSOD CONTRACTOAS DICLARA'I'ION <br />I h.r.by .fim undcr paalry of !.rjury rhat I lic.ns.d u.d.. provision oiChrpr.r 9 (l <br />thc Businas md Prof.sionsCodr, andmy <br />undcr pcnalty ofp.rjury lhrt thd. ii a @hrltu.tion l.n ,nfmrn@ ol$c vot forwhich lhis pcmit is <br />097, Civ C.) <br />AIIUCANIIPECLI.BAIION <br />Dcmohion Pcmits-Asb6G Noiificarion F.d.r.l R.gulations (Titlc 40, Prn 6) <br />ELECTRICAL.INSPECTOR RECORD <br />inlcrcst ud arromcyt fc6 <br />Rcquircd Lcn.r of Notiliqtio <br />-------T------ <br />r-------t-----t