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APPROVALS DATE tD/stG.COMMENTS
<br />Site.Work
<br />Unde round
<br />Pole Bases
<br />Li ht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Volt age
<br />Fire Alarm / Dam pers
<br />Communications Cable
<br />Buildin
<br />Under Slab / Floor
<br />Bonding / Groundin g / UFER
<br />Transformers
<br />Torquin
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />offitcieISaHrd&J R Uo hng(s
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rou h
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc.
<br />O{n.FBuilda D.cls,!ion
<br />I h.r.bv aflir uida pdirlv ofp..jury $al I o lxmB fm rhc coin&ro'' Lico!! La* lor ih. iollowtns rcsoi G.c.7or.i BNi,rF.dt ?rci*ro Cod.). Any Crry c Counry *hich Equic a pdnir !o cmEucr atr6, imprwc. d.hohlh or rcper qy lhcnrq pri (! 16asJ&*. .Bo r.{ud lh. {plro! lor iucl: p.frtr b fitc.rSrcdrkrmor rhar hc or Eh. tr lt.it.d pu^Uul lo thr Foqron; of$.
<br />ConEalor'! Lr@.d Lrw I Ch.ptE 9. Cffiocin8 qith S.ctio. ToOo of Dyilion ! of drc Burina, sd pof.rrio.! Co<t ) or U.r hc 6sh. 15 qmp! d..ftom ad $. ban f- $. .rrcs.d .rmpro Anv vior.d@ of s.crion 7oJ t , !y ey rppricel for ! pmn sabjdi rhcappli.&t ro. crvrl@d!y ofnd moE rhe tiv. hundrcd dolu tt5oo)
<br />_1,6 ownd ofrh_! F:,pdryto,iy @ptor.6 q$ wa!6 d $cn solc c6p.Badq, ei do n\c work Md rlc st ucn[c k nol inradodor or4d td ral? ( S.c.7044, Bsir@ ud Prcf€ror Codc: Th. Coriclor,r Lic.ns. Lsw d6s nol Brply ro.n oEa ofrh. Fop.nyqhobuil& tr imlrovs ln6cq, sd who doa &ch Fdk hiru.lf or harctfor (rcush h$ or ha opn c;ployra, prcvidcd $ar luchimprovcnaE e. not i.rad.d or offcEd rtr salc. r( howed, djc burrdins o mplo;mar t.ora *,oin'oil y*'ii-.pr**,0,0oqq.Buildd will h.vc rhc budo of provin8 t.t h. or $. Do! build o, ihpro;! fd fic purpsc or sat.).
<br />_I. a omd of r^h. prcF.ty,6.xduivcly @nE&dns wirh ticas.d oonr&bE to corrFqd $c projcd ( S.c. ?0a4, Bui!4 edPrcf6i6 Cod.: Ihc C6r&!or'r Li6& L.v d.s not .pply io s oh< of prcpary who builds o, Irp-,o rt *on , -a *r,o
<br />@nt'&l! fo, slch projccr! wir.t . Cor!&ro(, Ii@.d purlusr ro 6c conrradors Licn& Law )
<br />, WOf,l<ETS COMPENSATION DECLAX^I'ION
<br />' ndco, ahm undd pd'luy ot p.fJury on. or lh. fo @in8 d.cledion,:
<br />_l h.vc ad *ill h.i rin . Ccnificolc ot Condt to S.lf,tisurc aq wortn, compolari@, s p,ovidcd for by Sanior I7OO of .h.
<br />Lalor Codc, for $e pdfodnarcc of rh. qo* fo! which $. pmit h issuc<t
<br />rl""l: * l'llI{,-l :+cE' _cohpa&Lio. insutu ., s r.qui.cd ry s4do. r?oo of rh. Labor cod., for r& r.dm.nc. orihcworx rd whEh u,! pael t, ia!!d My qdk6, @nptullrm risu@€ Eiq &d polcy.urbr qc.
<br />waRl'{NG Foru. ro ter6 wqk* @mp.*!on av.Es. ir uhhwrur, sd sh6rr !ubj.c! a nproyd ro -minrr p@trr* ed crqrrrna up ro o. hundrcd $oqed do 6 (l r 00.000),in z.hnon ro dr. cos orcohpsr*ion, dms6 s proq.t d fd $c s@iior 10?6 0frh. L.bor Codc, io|66r &d aftohry" f.4
<br />LICENSED CONTRACTOiS DECLAXATION
<br />I ha?by affim und.. paalry of prju,r rhat I M licdr.d undq ryBio, .r claprd 9 (@cing with S{don ?ooo) oa Diviron I orlhc Bu!in65 sd Prof.lsion! Cod., a.d my ticcisc k in full tor@ $d cficct
<br />Licotc Clsr-- Li@r. Numbd
<br />, CONSTRUCTION LENNNG GENCY
<br />I hn.', rnim undd poaltv of pqjury {:d th* i5 s dsElcri@ rddins !8dcy for rh. Frfmd.. of rho wdt rtr whicn rhi, pcmn i5iislcd (se. 30e7, Civ. C.).
<br />A"PLICANT'S Df CLAR^TION
<br />Dmohlron Pmrrs.tub6ka Norifi@rm f.d.al R.gut'lioN fTrrh.o. ps 6)
<br />Rcquircd L.n rolNorifi di@
<br />_l @nify lhd rh. f.dqal rc8llatioi! Esa-diig eb6rc cftoval e. nor.pptidblc ro $is p,ojccr
<br />_ I ccniry thar I havc lczd dii.ppli.stion ed ll3rc $.r rhc abovc intoma or i! @r.cr r ,8Eq rocomply wid'.llCity 3d Countyordinecd ed SEc L.s El.!in8 robuitdin8 @sruotion, sd hftby authon& r@sallliv6 of rhi! Cily hd Couity ro 6to, upn lhc.bov. m.rtioncd propc,ry for insp.ction Plrpqq
<br /><_.Darc c -'/a /./
<br />_lm.rcmprLndcr S.ctioh
<br />--,8
<br />& p C rd thr B6on
<br />Ddr
<br />PoL Nlmbd _hrtr6 _(Thir edion n..! .d bc c6pi.r.d if rh. pqnir ir for on. hurAi aorr,: 6 roo) o r*s)
<br />-=--_l @diry rhar in rhc pqfo.tmc. of thc qdt as which lhE p@ i! isuc4l !h. id dproy M, pc,son in &y hmna so s rob.!e. !!bj*t to lnc w6rd. compcislli@ lNr of c.lirmia &d
<br />'3E.
<br />th.l ,f r !ho!t.t b.(o;" ,i,d:.,r ro rr,o JJ^..6pcnr.lion rrcvi3ior ofsqto.3Too ofih. kbor Cod., I th.I. fodlqirh conpty wnh thos. proviionr..
<br />on Ji*ro /o / .*o.u.,
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