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APPROVALS DATE ID/SIG.COMMENTS OWNER AUT-[}ER DELCARA'NON
<br />I hcrchy rflinn uMcr pcMlty of pcrjury rh.r I 0m crcmni fmrn rhe Conrrocron l,icci\c l,aw for rh. rolb*in8 n8)n (sN.70i1.5'
<br />Business lnd Profc$ion Codc): Any Ciry o! Counr, *hi.h rcqttcs , r^-r.rir r. c.nnrucr, arr$, nnpto'c. demhh o cnin on)
<br />{fl.rur, pritrr{, ih issx,nc.. rko equies rh. itdi.anr ror \u.h F.nlil ro tlc 0 sisrcd slltcm rhoi lEor dt i! liccnsd Nrsu,nr-
<br />rn rhc nmvhn'ns ol rtu Conrracroas l.icc.scd trw (Clhnrqr 9. C6'nm..nrg *irh S.dion ?Olx) ol Divhion .r otlrt Bo\inc\s Ud
<br />Profcssions Codc) or rhir lf,orrh. is.rnDr rhfcrron aM rh. b,sh lor rhc allceed cxcmprion. Any viohrn,nofse-rbn?011.5 by otry
<br />rppli.rnr n)ra pcnnn suhJccFthc 0tllicanr Io acivill,cDaltyoinor mrclhln file hundr.d douars (S50o).
<br />L as 6sftr or rhc ,tuFny. or ny cnu,lolcs wilh wngcs N rhin bb conlptnrlliflr. \'ill d. rnc $dk nM rh. sldurc is mt
<br />i'rlcxlct o! oilcrcl ,or elc (Se.' 704.,,. Atsinc* lnd Pnrcsi(,nr Cndd Thc (nnta.rol s Li.cnsc tjw docs ,ol apply ro 4 owtr ot
<br />rhc pmltny who huikls or inpmrs lhcmtr. !tu *lb des uch mrk hnnsclf or turc ll or rhmlgh hh or h.r own onflolccs.
<br />nnvidcd rh.' such imnmrcffnls !E mr inrcflB orolicrcd L. $lc li hoscvr. rhc buildi'rc or inpn,vcard is $ld $ilhinorcF{
<br />ofconllllc'idr. rhc osftr Buirdq *ilr h.rc lhc budm ofpmvin3 rlrat hc or dr dil ml tuild or iD{'rovc rhc pmFny ror rh. tulr)*.r
<br />L asowmrolrh. pop.nt,.Drcxclusircly contrrrins wirh li.cnrcd conrru.r on t' .o n {fl.t ltE rorcct (Scc.7([4. Bu\i.c$
<br />d Pmlirsi,n(tdc:rhcConlrlcrorsl,i.cn\cL!*docsn.lsrpl,loqnowr.fl)ropcnywh.huildsorimlrov.srh.ron,md $ho conrr,.N ror ru.h proj..h wirh r contn.rono li$n*d pununr brnc 6nrrDcr{,\ l,tcnsc bs)
<br />Ir .r. Lnr trn.lrrS.rriotr
<br />*,. Trl/'pto """...lxlr) in nldii,n ro rhc con or.o'nI)ci\rrnnr. drnn8cs !s J](nnlcd tn rh.
<br />Sd iOn .l07ar .{ iho tjt$r Cod.. i.rcrc{ rnd drormy s iccs
<br />^", Trilut9
<br />I hcrcby rfllrmundn p.Mlty of Frjury lnal I !n liccnsn nndcr !n!i\ion orChdl)l& 9 (com.mmins *irh Sccrio. 7fix)) .r oivnion l
<br />ol rh. Busikss d Prcfcssion\ Code, ond m,liccnr is in fullfor.clnlcfl.cr.
<br />ca$uf,ucul2NrENDINC-&ArNCr
<br />I hcrcbynfltnu crpcmhrofpcrjurrrhrrrh.rci\aconntudt,nkndin8tr8cmrlorr,Epc.ionMmcolrhc*urkrorshichrhnpcirnin
<br />is\ucJ (S.. 1097. Civ C )
<br />AIIUCANUTEq,/8A.II0B
<br />I hdiby dfuo ltrdcryemlr y ol pcrjury onc of lh€ lollowin8 dcclmrions:
<br />Dcmlirion Pc,mih'A E\ros Nolir,c'li.n Fcd..ol RcBululions (Tillc 4(,. P0n6)
<br />-RcquiEd
<br />Ilrrd oaNdifaarhn
<br />-l
<br />ccniry lhrr rhc lcdcnl rcslllriors Egarding asb.sr6\ rcfl,v.l aE ml lpplko$lc ro rhn pnjcr
<br />-!
<br />anily lhar I have rcM lhic 0mli.0lion.rd $trlc lhal tnc 0bvc tuforrotion iscorer.I a8G bd,nply
<br />ordinonccsrndSrarcLrw.rcLrusr.huiHi.!.nn!,/a'd'on,ndhcmhyrdh.rn.rcrrc{I nc\ nflhFCiry
<br />rhrv. mnr'on.d tmncny lor nn*al"npvy,*{/
<br />epprkur * eeor ftmrun ( ,/. ,- o"'e
<br />Pcm,,emn.ipnn,,: QHt { fl<twtlhtc*
<br />Irn O,trir, ro c rs unotrrhc
<br />44{Es
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Building n/"tltv t 'mnm-.nrln'jl
<br />Under Slab / Floor 2
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels 2-tz-rs J)-{,il-,@
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Rough ?-tz- /,J/otd tfro
<br />Service lVleter
<br />FINAL lt- 7- tq Jlclo+(@
<br />Notes, Remarks, Etc
<br />ELECTRICAL-INSPECTOH RECORD
<br />Communications Cable
<br />Meter Release
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