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APPROVALS DATE ID/SIG.
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />./1\
<br />Bondinq i Grounding / UFER tr,x{"y}
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soflit Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />Meter Release
<br />A
<br />Rouoh 4-n-I.14x)
<br />Service Meter V\J
<br />\t.l*DaFINAL
<br />Notes Remarks Etc
<br />ELECTRICAL-INSPECTOR BECORD
<br />0lvNF:R lrt:ll.lrlllr l)lll.( .\RAl ()N
<br />I ls.hy dlftnr undcr Fn,hy ol l.riury rhal I m cxcnfl tn,m rhc (]n rr.b^' Lrcr{ Liw tnr rh. l.ltllowin8 rcaq)n (Sc.70ll 5
<br />Ilu$ncs\ ml Ptuia$bn Cule): Any Ciy ot Couhry whsh r.quE\ I Nmir b connru.r. alrd. ,n|x)vc, 'lcrolth or .cI r inv ,
<br />nnrru'c. prxr o rls rsufrc, al\o rcqurcs rhc.P0li.lnl Ltrsuch Fm( o tilc a \isncd {rrdrnr rhd hcorsh.(lr.n$J Puruanr
<br />h ihe F)vnn,ns of tr. Conlrnrktr\ l-i..n{'l trw lch,t'rcr 9. Commcr-'m! wirh ScLhotr Tulr oI Divrbn ! of rhc Rr{n'\\ rd
<br />Prni{Dn\ CoJ.) or rhdr hcorshc trcrcmrr th.rcln)nanJ th.lusis litrth. ru.tcd crcnrPron Any v$llt$nolS\.'rx'h70ll5hv{nv
<br />rml'crtrrr(tr r Nrmrr \utleckihc amli.a. o !civilpcnalrr.ifrn nimrh.n Irve htrnJRlJoll.n(1500)
<br />l. as o*ncr of rhc phJEdy, or my cnplolter w h wa8cs .\ llEit $lc cotr{tnsllon. will ,lo rhc R)rt drl lhc $E-rm ( *'
<br />or.nldl or ollarcJ tur sslc (Scc.?(N4. Busms ind Pmle$tuns Cdicr Th. Conrractr's L(.n€ Law.tE\ noranpll to an owncrol
<br />rh. pn,Fny *ho huJds or ryB)vcsrhtuq.rn who des such w'.( hin(lfor hcrcll.rrh('ugh his or hcr o*n.mlhrv.c!
<br />or,vxled rh,r su.h inpn,Emnts n m. inrcrd.rr or ori:.fti] for slc. Il l$m8, ttr huddrq or llll{mv.tunr s $lal wirhn on )td
<br />ul cdryhrDr. trE Oprcr BriDer w hrrc the 6unLn ol ,rovi4 rhrr h or sh. dil nor h! i or mpovc lhc l,tldy tirt rh luqts ol
<br />-1,
<br />!\owftrollhc pnlPcny- am.rrlusvcly.odrlclin3 *irhlil.n{d.o !.uror nr con(ruc! ! hc I'n+.r (Ss_ 7tr44, Bu\incs
<br />!n,l Pn csMGd.: Th. Conlracnx r Lrcn\. kw il*s notanDlvro u owho ot Pnrp.nv ,hr) hxildinr lnloves rh'tcon.
<br />rnd who.. D.rs li,r \uch PNFcs wnh ! conrruut'( r li'tn{d Puruani n' rhr c'nkr&r's L'cnsc lf,w)
<br />l lnrc\cmnr unJ.r S.rri,n-, B &Pc ldlhhrcr\in
<br />WORXFRS' C(IIlIIENSA] ION
<br />DECLAE{IIO!
<br />I hcrcby lllrm unJ.r p.ndryoIF-rjuryoncolihc Lll',w rB deldrnons:
<br />-lh.vcr
<br />Bill roinrar r C.d ilrrrc of Conscnr ro Selal.iurc for worlcn "a,hn nsathn. as J[,!!]ed lor bv S..iion 1700 of th.
<br />llhJr CuL. for lhc I'cno'lM.. .f rhc mtk t)r sllih lhc tEtur t rsucd.
<br />I hlvc rnd *ill n.inrlh workcF coiFnr,ion ,nsur.frc, as rcquftJ hy sccrxrn .!?00 o, rh. bbor Crxlc. fir rh. p'n'mn'c of
<br />=-x
<br />\-..2 Co \9 C \Loo ui - (\
<br />I ccnrl!rhar in rh. f,crlirmh-'c ol rh. worklor whth lhis pemir * rsucd. t sholl nor.nnldylny Pctson inahynanE
<br />$ .s nr b.com suhjccl ro rh. eorkc( .ompensdion l,w\ orcaliromia. .toia3t. rh,r 'rl shul! hccom slba.l lo llE
<br />*ol*cr.omtEneri,nttuvtionsorSedi.nlT0Oofrhcl$orCode.l\hall,bnhwrhuonrtlvwirhrhrsirolisions
<br />WARNTN(i: Fdlurc b scua k .d c.hp.nsanon covcraS. i\ unlawtnl on,l sn l subj.cr lrr cnrpilvct t' dminal Fnalli'\ ril
<br />.r lin.i un to onc hun!rcJ lhourand dollm (SI()O,(XD), in rddiror o lhe .od .f.on!f,nrllon- dah.8.s as porilcd lor thc
<br />S.et n 1076olthct, u C,rlc, rnr.rc( MJ r,my'\rc.s
<br />^(1-\1
<br />OECLANATTON
<br />I hcEby dltn und.r n Mlry ol pcrjory rhd l .m liensl und.r lNvi\ion ol Ch.rtcr I (.omtu in8 wilh Seclion 7000) tt Divirk'n l
<br />ol the nusinc$ anil Pfttr.$$ns Co.lc. a dy lt..!. s r lull t;r ui.ff.c(.
<br />-(o
<br />LZ S-.J.r'
<br />CONSTRUCT(IN LDND!NG ACENCY
<br />I hcrhy rll irm und( l.tr tyoiperiuryrhri rh.rc s!.Dn(ru.rbn leBlrg iScncv ntr rhc Fnnm colrM wor* ittr whthrhr nctmi ir
<br />n{rd (Sc. .l(r97,Civ C )
<br />kndcar Nrnr:
<br />-
<br />AIEUEANLOECIABAIjA!
<br />I hcrchy rlim dndfi Fn,lry ol pcrjury on. orrhc lollowrn8 Jc.bruri,,n\:
<br />Dcn$l(i,,n fcrnir\ rh.{o\ Notlr on FcJ.rd Rc8ula(io.s (1ilc 4). Pd6)
<br />R.qumJ l-.(rr.l N,irli(trrnn
<br />-l
<br />.cn,! thal rh. tid.ral ESulalons rc3ndins dtEnos rtu)v,l dc nol uPd'c,blc to rhi\ Pr)Fll.
<br />-lccn
<br />ylMl I halc rcadihn.ppla ion. slar. rhnr lh. ,h,vc intormaln,n n co(cd la8rcclocohpltw hdlCilvandCou'lv
<br />.nlimm.s rnrl Sr.rc L.ws rclaring o buildiry conrlruulion. ul h€lcby autlriTe rqrc{nunlcs otrhh Ciry dd Counlvio cnld xF)' rtE
<br />rhs. nrnrntr,..l U!'Fny rnr .I)(!rrr f tr'lr N!
<br />AnDlicxnl o. A[enl Signalu
<br />\erS<a
<br />'-\-(l -1 I
<br />COMMENTS
<br />Under Slab / Floor
<br />omtcnsrbn in\urrn(c camcr rxl llrry nnn$.r ee:
<br />p"6 .=, - Lt- l l
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