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ELECTRICAL.INSPECTOR RECOHD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Life Sltety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Bouoh)
<br />/a/az,/t ,--*wr )
<br />Rough
<br />Service l\rleter
<br />FINAL /o/n- lrq -\4
<br />x
<br />Notes Remarks, Etc.
<br />OWNER ETIILDER DDI,C RATION
<br />I hcrchy al'ljnn und$ ncnllly ol p.rjury rhrt I m crcnyr tuh rhc Conta.bN Li...s. tjs for rhc ft,llo*ine rc.$n (S.c 70ll5
<br />Busioc$ und Prolcssion Codc) Any Cily or County which r.quires tr pnorit ro on(fld. rllcr, nnprovc. dcnnlish .r rurun ,ny
<br />nru.hr.. |)rirro ir! ixsuJnc.- rls ftqrtcs thc.pplicanr tur such pcrnnr h,ik 3 si8ncd sr cnxni lhar tr.r\hc i\ li.cn{d pursanr
<br />ro rhc pmvni.trs ollhc Conrraclois Licctrscd hN (Ch.arcr 9. con,Bncin8 with Scclio. 7(xx) ol Divhion 3 of lhc Busincss ond
<br />Porc$n nsCodc)o,rhrr lt.rshc is€rcnpr rhcrcfrcm 3nd rhc t{st for rhcalh8.d.irhprion Anyviolationolsfrri,nT0ll5byrny
<br />{Ilic0nl lor a p.i,nit subjNls(hc 0pplica lo rcivilrctuhy.rnor nx,toth,n filc hundrcddollais (s500).
<br />l. N owmrolrhc pn,p.nr. or ry.nrpkrytcs wirh srs$ rs thcir blc conrDcnsrrion. will do lhc wort urj lhc srturh n nol
<br />inlcn] d or offercd f.r ek (SN.7(!1:l. Bnsiftrs and Pn,fc(ions Cod.'l hc Gnnracrois t-iccn\c tnw d.cs n.r amly ro rtr oqrcrof
<br />rl[ pn,Fny sho builds or in{,r,tcs rlEBnl id rho nes such mrk hinNcll or hcrelt.r rhmu8h his or hcr owncnDloyccs.
<br />[ovnbd rhd su.h nno$Enhnrsefr, idctoicd orolTcrcd lor \ak ll ho*cvcr. rhct ik]ing or inpmvc,mnr i!s,klsirhinnnc FolcophriolrhcOwn.rBuildcrwillhr!.rtrtnrdc.ll)(,vin8rlnnhcorrhcdidftn6uiH.rinrp(,rcrhcpopcnyfi)rrh.ruqnrol
<br />-1.
<br />as osrcr oath. poperly. rm.rclusivcly .o.rra.ring wirh lened .odm.roF ro .onqrud rlt prDrd isct 7old, BunBs
<br />and Pmfession Codc: Thc Contra.lols Licensc Lav des n.r snnly ro M owncr nlnrcpcny who builds or r6rnv.s rhercon,
<br />s.d qh. @nrers lnr sh Foirli $irh ! Contndon{ lier*d nusu ro rhc ConrKbll LtoE L3{.
<br />I
<br />I m.lcnd undc. Setion It,
<br />TYOBTEBILIjAMTENSAIION
<br />DECIAIAII()N
<br />I hcrchy .fitm u tucr Nmlry .r Frju.y orc .r rhc rolk,, i,r! d*l rrrn,r\:
<br />Ihr\cudwillri.riirCdnrfiercofCon\cnrn,Scll:l.surcntrsork.is.unpcnsdn,i.rspn)vidcdtu!bySccrn.lT(x)olrhc
<br />ljhtrCodr- rffrhc pc{o!run.colrhc *ork rhr shich rlrc lcrnrir is nsu.d
<br />_l irvc rtrd *ill nrn rir worl.6 .ontcn\rrion iNurrmc. 3r rcqdnl.d by Scd bi lTIr ol rhc llhor Codc, ld rhc J,{rfontun.c ot
<br />ihc $ork ror whichrhh .l. nt is issucd. My workcr'.nmp.nsnrnnr ihtrrrn.c.rnicr !1d F,li.y umb.r dc
<br />.*,,, \,/el" ftzn
<br />a.()/<o30
<br />! ccnityrhar in lhcri.rfornEnccollhc work lnr{hicnlhis pcnni n issucd.l sholl nor cnrployant !.son ir rnynunnc,
<br />so asl. bcconr suhlccl lolh. workc^ o p.i\ n i hw\ of Crlifirnir, rid Jlrcc rhrr il l should bcd[rc uhjmr tu rhc
<br />*orkcis c.nD.ns iotrfiovnnrnsof Scdnnl7(DofricI at rCix1c.I \
<br />WARNING roilre l(' wlrc srkc6 con{.n
<br />ciril fincs up ro ore hu rcd lhousand dolhs
<br />rul. md sltrll nrhjc.r rn. lI)loycr u dirtritul FDrlrics dtrd
<br />(, rh. co{ ol .onD.tr\rrnnr, dnnirgc\ r{ t(^idcd lnr rhc
<br />S.cii{nr:lo7a.f rh.l$.r('odc inrc.cni
<br />"",",4- // -ZoE
<br />I lrcrc$y ritn uDdcr lf,nrlrl olFUUry lhd I rn h u crptuli\trtriof(hrprcr'r(tu nnctui'rt w irh Sc.rk, lmo) .l Divi\n,n l
<br />ot r,r au\inc\\ rnd Pn)re$n,nsCodc. rnd myliccirc is in iulllnr.c dcllccr
<br />Z /lz
<br />7 -lf ^2az€
<br />I hcrcby arjn nr utrlcr p.n{lryolNrjury rh tndirS rgcn.y r'or lhc no lnflnrrrc or rhc sork lnr which thh Fnir is
<br />issucd (Sc.. .l{r)7. Cir C.)
<br />lf,ndcas N!nE:
<br />L.od.fs Addrcss: _
<br />rlr ,cdc'31 rluldrtr)is rcg di',8 r\hnoicnn,r,'l x'. tror rpflicrbl. h rhis J,(Iccr
<br />h{ I hr\c ni(lllri\ imli.i 0r sarc ihrr rh. rhnr ihfdnurnnr h c.rc.l I +re to onDl, wirh nll ciry ,nd counry
<br />ain8 conslrucrio..,id hcmhyaurh.rizc r{rcrnt.rivcs olrhis Ciryand Countyro cnlq upon rlE
<br />lrr4lu?t"f-zf 'ZaR
<br />Site-Work
<br />Sions (monument)
<br />Meter Release
<br />nfl hRirh .:nnfly wirl rtb{ P !isn,i\..
<br />APILICANI-DECI.AAAUON
<br />I rErcby atrm undcr p.ddlry ot pcrru.y oe 6f lhc rolb{i.s dslararions:
<br />D.tulirion Pcrnih Ash.sro\ Norilic0lion Ftdc,ol Rcell.rionslTnt 40. Pd6)
<br />-Rcqlircd
<br />Lcrrer ol l.lotiff,orion
<br />I
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