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ELECTRICAL-INSPECTOR RECORD <br />COMMENTSDATEID/SIG.APPROVALS <br />Site-Work <br />Unde round <br />Pole Bases <br />ht StandardsL <br />S FountainsASPool <br />S monumentNS <br />Lite Saf /Low Volta <br />Fire Alarm / Dam ers <br />Communications Cable <br />Buildin <br />Under Slab / Floor <br />/ UFERBondin/ Groundin <br />Transformers <br />Tor uern <br />Sub-Panels <br />Air Conditioners <br />Rool To E UI ment <br />Facto Wired Unit <br />Walls Conduit <br />Walls Rou h <br />Ceili S Hard & Soflit Rou h <br />Ceilin s -Bar Rou h <br />lt/eter Release <br />Rou h <br />Service Meter zr\FINAL <br />Notes, Remarks Etc. <br />.)\\'NrrR B|ll.r)r:lr r)l]1.( ]tll,\l l()N <br />lhcrc[ral6rnundcrpcnalryorFrjurylhalld.rcmtrfmmlhcCdnlt0.losLien{riwlorrhcrdltoRitrarca'on{s'c'?0315 <br />Businc$ all(l Profc$ion Cod.): A.y Cny or Counry {nth rcitlins a pc.mil ro cotrerucl- llrei ifrprcrc. dcmoliih 'r qun anv <br />sflcruE.I,riorhikissu.n.c.ols,rcqunsrhc.!icanrfo.su.hFrmilroliluasiSncdslurcmnlrhttlEo,rh'isliccntldtursMl <br />brhclnionsorrhcConhcloisl-iccnkdtiw(ChaplcrgConurNins{irhsc.tion?Oi})orDivhion36trh'Burnrcs/and <br />Pofc$ioNcodc)o'lh.lhcorrh.i{cxcnDllhc'cfrofrdntjlh.bashlorlhcalllscdcrcfrflnrn, nyvioh'ionolscclionT0]l5nylny <br />q'rlicanr ror apcnnir subje( rhc aPplicrnl ro rcivilOcnallvofnor r.o rhm livc hundtcd dollrs (S50ol' <br />l. os o*rcr o, rhc amFny. o, ny cmphrccs wirh w!sc{ N rhcn $le omp.ns.r ion. will do rh' qo sdrh'srElNt ior <br />i,r"d.d r olfeEd ie sle lie.7oi4. B;sin${ ad Pmlcsions Co.!c: Thc Conrmcloir Li..nsc Li* &ti ftr arPlv ro 'n owB ol <br />rhe pn'F.ty who hiiu{ or iq,mws rhcdn, and who dcs such q himscllorh.rs.liorlhrcushhir"h'!owncmplovccs' <br />p-*a"A rt'o "u.r, i.rlorcBnh@mr inbndcn oroflcrcd fo' sl. lt hoqcver rhc hiklints or nipmhm n$kiwnhinorcFt <br />;r Grl|)lllhn. rh. Owi; Buixq qill havc rh. hldcn or rmlins rhd tc or sh. did mr hild or irrrt ovc rhc phFnv for ltr Nrl.s of <br />-l- <br />as o*i.r or rhc pmFny, r,n cxclusiv€ly conkdine wnh liccnsql .offador\ ro cuonruli lic In+'r lSN TOr4 Bu{nc$ <br />,na pn rsOon Coac, i trc Conrocror's Lic.n$ LnN docs ml rplly ro otr osncr orFipcnv whr) hnilds or im!rercs dctcon' <br />..d who .oorra.rs lor such projc.h *nh a Conrrrd.n, li.cned lursunr b th. Conrt{cn \ Liccnse li*) <br />..?- q <br />I hcrchy afiirnutrder I'ctuky of Fjury otu olrh. rollowitrs dcchtri.ns <br />-l <br />havc .fll will 'Mi ai. a Ccnificlrt of Consunr tu sclunsurc tu wolkcs conncnsalion. as nmvidcd for hr S"lion l?m or rh' <br />btnr Codc. for lh. pcrformmc ol th. work fo, shich rhc pumil n issxcd. <br />-l hiv. and Bill moinrain work€rs' corp.ns ion insurotuc. $ rcqutcd bv serion l,OO of rh' bho! G'd€. for rh' Pdorm'cc of <br />rh. mrk for *hth rhl\ Fmil is is$cd My workss conf.os,tion iNurancc.micr ad Flicv oumhcr rc: <br />_Erpircs <br />-l.cnilirhdiIrhcPcrrbrnututotrhcworkfirvhichthNlcrnrir <br />is issucd.I shulltror ' !'ov rv Pcr('n h !', nBmd <br />{, ^ b bccom subjer k, rhc wo, kc6 .onrFns.r id) lnw\ ol Calinrtrio. a ryd'harilIsh'uldl'c'omsuh]ccrrorhc <br />qorlcA iotrrFnsari{,n pdvisions oIScctnn,l7(X)olrlE ljhor Codt.l rhrll. ti)nhwirh conPly wirh rho* Inrvi\id$ <br />WAIiNINC hilurc !, .c.trr. work.^ .t rFn\ri,, ' !,^f <br />. rl r' .. .'t. L. ,-.' lrtr h ' rl," <br />' <br />l l ' ,1lrit r{' <br />S..rnr :1076 ol rltr I rlxn (i . nerc{ rnn rrnnk! \ r.c\ <br />tuI. mJ shall \ubF.r itr cnlllqtr ro anniDl l.rv'hi6 ond <br />tu the cod ot coDrr.n$lion. dd{8cs as prcvidcd lbr rhc <br />,"," 7-\-\X <br />I h.nby rfi,rnundcr p.iarryofDcrjury rhdr r an liccn$n;ndcr pmvnk,n oachrrrs 9 {onrtuncn+ with s..rinr ?fi) ofDivi\ion l <br />oI rhc Busirxss {nd Pn,f.ssions Code. $d my li.cnrc is in tull turN Md clltcr. <br />IONEIBIJqII()NTEIDIi{i.dGEITCI <br />lhcEb!aftinnundc,Fnallyofperj!rylhdrhcrciuonnrudfunhndinBlgcft,'orlh€pc.formr.ofll*workforNhi.hrhklmilLs <br />issncd l Sec. 109?. Civ. C ) <br />APPI ICANI'DFCI ARATnN <br />I iEEby nmnn undcr pcnrlry ol Pcriury onc ot <br />'hc <br />lollowirs dcclnnrrtrs: <br />Dcnmlirion PftnrirlAsbcsros Notillcrrion tcd.rtl RcBUlalions{Tirle 'lO. Prn() <br />-Rcquir.d <br />lxncr of Norifi .irrn <br />-l.cnilyrhalrhc <br />ltd$J rcSullrlir)ns rcg.rdnr8 astE(.\ rcn{,ulrrc nol lPfli.thlc lo rhi\ J'ft'J"l <br />n iyr r trfc{'ixlury <br />(Jtnqrz_ <br />\:16 <br />I-iccnse Ctas:-Liccnse Non$cr <br />D.le: <br />- <br />conlncror:- <br />Lrndc''s AJrh$' <br />I