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ELECTRICAL-INSPECTOR RECORD
<br />COMMENTSDATEIDiSIG.APPROVALS
<br />Site-Work
<br />Unde round
<br />Pole Bases
<br />Pool FountainsS
<br />Life Sale /Low Volta
<br />Fire Alarm / Dam ers
<br />Communications Cable
<br />Under SIab / Floor
<br />Bondin / Groundi / UFER
<br />Transformers
<br />To uern
<br />Sub-Panels
<br />Air Conditioners
<br />Rool T UI entE
<br />Wired UnitFacto
<br />Walls Conduit
<br />Walls Rou h
<br />Ceilin Hard & Soffit RouS h
<br />hCeilinST-Bar Ro
<br />lvleter Release
<br />IRouh
<br />Service [tl]eter
<br />,DFINAL
<br />(,tvNIaR ttl:tl-l)liR Dlll,( ]tRt I l()i\
<br />I hceby ,rtrm u.dcr penrxy of pcqury rhot I m cx.nrpl fo'n llrc Conrdclnl t'tcn{ bw l()r th. lolloRirs rclsnn rs'r'7011 r
<br />Busin.$ ond t'rotcsk'n Cod€) Any Cny ot Coutrly which $qxircs a lsmir rD c.trstrucl- !lr'r. iNptovc. de'Eti\h or mnin 'nv
<br />srrucr!,c.trirr.nshsu!rcc,ahorcguncslhcarPli.anlforsu.hpct.lnbnbasisrcd{nr.mnllhorhcorshcisliccn*dPrsutnl
<br />lo rhc Prcvtioni or r Conlrockn s Li.ctrscd Lrw (Ch'prfi 9. connrcncing sirh Scclion 7uD olOivhion I ofrh' B'sincss md
<br />Pnrrc\ri(,nsCodc)orlhlrh..rshchcicnDrrhcrcrtummdrhctEstforrhcallc-scdcrcmfltunAnvvidarionofSNlionToll'5bvan,
<br />,mli.(nr fo! a r^-rmil suhiccls rhc lppli.nnrro0civilpcmhyornoimrcrh!!fiv.hunn,cdddlles{5500)'
<br />-1.
<br />as oqncr .r rh. rolErlr- d ny .mrlores wnh w,8.s 0s rhcn $t cofrpcnelion. wil! do rhc $ort arxl th' nrw1u6 i( m'
<br />i,r."ra -.nt*a r"i *r" ri- ?oi4. B!\inc\s and Pmfcssions Code: Th. (hnl@rd's Liccnsc Law dd3 mt amlv ro tn 'sncrot
<br />rhc tmlErry who hoildsor impmE\ rhmn. and who dGs flch slk hnnscltor hcr{cl,or lhDrgh hh or hcr ow' cmrlovccs'
<br />prcvia.a rlu sucrr nnprercnuk m ml inrctucd or ofi.trl r.r eh ll tpscrcr' lh. buiHins .t anplmmd n $h silhin on' ,t
<br />;l.omplcri ri. {h. o*n; Build.' will h,vc thc 6{.icn of,xoving rh.t hc or slr did mr build or in{rdk thc PNFnv ror rh' pu4ns ol
<br />-1,
<br />as.w..r ollhc pmp€dy. mcrclusivclyc.nr0dins wiri licets.d.o rtrro^ k, con(rucl rhe tmid (Ss 7044 Bxsi"crs
<br />rri l\.fcssbn codc Thc Conrh.roa s Licetrsc Las do.\ rbr 0pPlyro ano*ncr ofProPcnvwho buildsor if,lmws lhcEon'
<br />rtr'l who conrD.r s t, such omift snh { Conriocxtr(s) lk nsd pursunr b rht conhdois Liens. f.wr'
<br />I ancxcnrnr unddr Sccrio
<br />lr. ,
<br />\\()Rhl:Rs ( ()ltl'll\s,\l l():.,
<br />tu!!"!-8{t!l)li
<br />I h.,.1,\ rlltrrr nf([r J]!trrlr\ ,'l l).!irrryf r rl !h.l', k,ui'r! r[.lrnn!]r
<br />l rhtr (i,tl.. tur rlr t).,lnnnrn(( or ih. \r'r tur slr'.h rhc ltrnrr . nn'.(l
<br />I hdv. itrd *illnui'nri'r wotkcra con,]t sarror irNu.rf.c. rs rcqtrircrLSvSNri({l7U)oirh'lrbor(ixb'nnr
<br />ulid',
<br />-l€cnifyrhari.lhepcrfonun.corrh.workf
<br />whichrhkpcirn is n\ucd.I shall nol c'nPlov anv !'so' in anvnutnq
<br />s N lo b.sm Nbjcri lo lh. wo*cn conDcisrn'n hws of Colifonid. rnd urcc rhd il I should h.'dm subjsl x' rhc
<br />workc.s onp.nsorior p(risi.nsofSdn,n l7mof Ihc Llbor C{d..I sh.ll. tonhwirh cory)lv wirh rhos pnrvisions
<br />WARNTNC: Failurc lo s.uc workcs cotl]fnsarion ovcrsSc is uilrwrul. al]d shlll subFcl m cftpk'rtr ro aihinrl txuhics ind
<br />cilillincsuploomhundr.dlhousnildolls(!100.000).inuddili.nlolhcco$.Icohpcnsalion.ddnlo8csaspr.vid.dn)rlh.
<br />se,linn.1076o||h. Labq c.'d., mrcrc{and u!if'my'\ lc.'
<br />Dnrer--- Appllmnl:.ncsrsrrxnr.rrti,lcrrrn
<br />DECI.ABAITON
<br />I h.rhy,nrm undcr pcndty of pcrju,, rh!! I am liccnrcd undc, povkion olCh4ld 9(.onmncing snh Salion 7(xD orDivhion:l
<br />oI rh€ Busin $ md Prclcssionr Codc. !d m, licens. h in tull fore dl cficcl.
<br />-sqlit,r",6\2 W
<br />CJ}NIIf,!]ErcNTENDING.ECDICI
<br />I hcEby rflnnrundcr pcnrhyot|cUuryrha h.E is I c.n(d.riI'n lcndi.S.gcncy fd rh- p.no Dn'cofrhc$orlfor*hichrhi\tc'nririi
<br />issrd rS.. 1097. Civ. C I
<br />APPI ICAN DECI ARATI(IN
<br />I lrrhy x,lrn und.r pcnrlry ol Frju.r.nc or rhc lnllo{ltrg nc.luri(,n\
<br />Dcnmlirn,n Pc',nirs strsos Norific nr liedcrll RcguLrn)n\ (TirlcJ0. Pxn6)
<br />-Rcquircd Ldcr ol Norill.xii(trr
<br />I .crlililhrl lhc rcd.rdlrcgnLrliois rlnrdnB ril{\ro\ r.fxr.lrrc mr rfplicrbl. rr rhi\ nnrrNr
<br />fl
<br />!ix,vc f,trriotrcd pmncny lar inlpcclio
<br />I
<br />tlt
<br />m n,t, 1l)79 lg
<br />Cny rnd Coxnry to cnlcr uE,n rhc
<br />Lioht Standards
<br />Sions (monument)
<br />Buildinq
<br />l{rl ql
<br />l-ft\tr
<br />Notes, Remarks, Etc.
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