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ELECTRICAL.INSPECTOR RECORD <br />DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Slandards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Lile Safety /Low Voltaqe <br />Fire Alarm / Dampers <br />Communications Cable <br />Buildinq <br />Under Slab / Floor <br />Bondinq / Groundinq / UFER <br />Transformers <br />To rquerng <br />Sub-Panels <br />Air Conditioners <br />Rool Top Equipment <br />Facto Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilinqs (Hard & Sollit Rouoh <br />Ceilin gs (T-Bar Rough) <br />It/leler Release <br />Rough <br />Service Meter , <br />Notes Bemarks Etc <br />FINAL <br />(,WNER BUILDER OSLCA&I'I'ION <br />I hcrcby.lnnn und.r Fnah, of rcrjury rh l a6 eicmpr lmm rhc Conrraclo^ Licensc t-aw ftr rlr folbwing r. $n ( Sc. l0:l l 5 <br />Businc$ aDd ProLsion codc): Any Ciry or c.unry whi.h ..quircs a lxrnir ro .onnru.r. drc.. inlnovc. dcnnhh or rclit lny <br />$rucrnc. prir x, irs hsuarcc. lle rcqutcsrhc arpliclnr for su.h lErnrir k, filc a sisrcd (ltemnr rha' lEor snc n liccn{d po^osnr <br />ro rhc provhions oIltE Conkrdois Liccnscd Law ichq'rd 9, commcncnrB Birh Sccrion ro(x) ol Divhion ] oflhe Businc$ ond <br />Pr,rcsinn\Codc)orrhirlEo!\hctercmprrh.rctromandrhcMshlorlhcllk3cncxcnprion.Anyviolarion.lScc'ionT0ll5byDny <br />iptli.ad r.r a p.rnlii suhjN* rh. atpli.nnr ro acililpentrlrrolnor mrcrhan fivc hundrcddolhr\ (S50o) <br />I.rso*crolrhclln'nrdy.rhcr.lusvcly.okrrri'rAwirhli.cn\c(lcofrrrnn\t,.ostucrrhcf()ir.riSc.7(r.l.1.Bnsrnc$ <br />oNl Pmli\\hn Onlc Thc Cotr[rclff-s L].ctrr l-aw do.\ mr rpl ro,n owdr ol[opcatwho builds or imtnucs rhcrc.n <br />tr!.I uho conlmck for such projcclswirh!Conl,oclons) licc'puisuanr h rhc C.nrrocr.as l-iccne l.awr <br />_l an de opr undcr Ssrio._ <br />{ <br />IlNrch)irlln utrdcr p.nrllyol tlrjuryoDr oirhc lhllotr i'rE lLrIrdi,)n\ <br />-lh(vc <br />o *illnminrainoCc(ificolcofConscntroScll.lnsurcforwor*cr'conltrctrsition.!s tmvidcd r'or by Sd bn .lTu) ot lhc <br />Llhor Cfrlc. forrhcncrhrmncc oirhc worl lor *hich thc tr'nir is isru.d. <br />I hrk rnd qilln,rinrrin sorkcr\ conlIltnsrri{nr insur!ncc, rs rcqrtcl6ySccrt'n.lTlDoirhcl-trhorCodc.itrrh.pcrfornrrtucor <br />rhc sork fn (hirh lhi\ t^-rnrir i\ tsurJ M, so.kcr\ .onDctrririo iNuruEc.lricr rr lxni.ynun,h.rrc: <br />I(nrryrhrr ii rhc pcrfo'nrncc ol rlr sort for qhichrhi\ pcrmir i\ i\\uc'l.l shrlldor c Ih! nypcN,ninrirtrwrr <br />n)asr.h..ontrluhjc.rbrlsLr.rkc^LannpcNmbnh$s.tcalifltrrir.tudllNcrh irl sln,uld b(om suhjtd trIIE <br />wortcr\ ..mFn\.hoD fr.visn,NoiSccri(!rl?0Oofth. Lrhn(i ..1{hill, tunhsirh.. Dlywirhr)n){nn,vnion\ <br />tIARNIN(i: Frilurc h \..trr so*en con,ocn\rrion covmo. N r nl. xnd \lnll \uhjr.r !n c'npk)rtr h rrinri l I]rmLric\ niJ <br />ciril finc\ up t, onc hunJr.d rhousrnd dollar ($loo.llx)). in <br />Sccri(nr 1076.frhc l-ahn(ixl.. inrcrc{ rdd orRt \ fcrs <br />ion ro rh. cosr ot comreoslr <br />I hcrcby rlftr,. undd pennlty of pcrjury ttut I am liand und$ pmvision olCnaprcr 9(.onn:En.nrq wilh Sdion ?uD) oIDilision l <br />oi rh. Busine$ Md Pro|csiotF Codc. drd nyliccn* is in tull tqcc !'xl eatccr <br />Liccosc Clas:-Lic.trsc Numhcr <br />D.lc. ('ontmclo. <br />COISIBI]CII()IIIENDIIG.&CII.SI <br />I hercby 0mrmunJn lcnallyofpcrjury thrt lher. ir r cotrsru.lion Lnding.Bcmy for fic pcrloflmncc olthc sork iff which lhn pcrmit is <br />irsmd (Sc.. .1097, Civ C ). <br />AP]LUANIjIIILIBAIION <br />lhebynflimr.dfi p.n,lry dr tdjury onc orrh. a.lk,Bins dcclalrt,ns <br />lxmoliri,n Pernirs AstEno\ N6lificarn,n Federal Rcgularions ('litlc40. Pon6) <br />_R.quircd &rro of Norifi carbn <br />I c.difyrhdrrhu lcdcrrlrc8ulario.s m!*dnls r\hc{ s runblrl rrc nor rrpli.ftlc o rhi\ tR+d <br />-lccrlifyrhar <br />I hnrcrcadlhhrpplkarionud lhtrl rhc .horc irloirmrion n comcl I a8rcc Io o'nr,,y wnn .ll Cily ud Counry <br />ordinarccr rnd Starc ljws mlltiryk,buildirg <br />alxrvc rm n.md !k,p. y f(, in <br />AppliL8nlo.AgenlSiAn trr. <br />ruclior akl hr.by rudnrizc <br />APPROVALS <br />-1. <br />I o*ncr of rhc pmrEnr. {tr Dry cn,flo)e\ } ilh wa8cs os lhcn hb .nnDcn\l(n'n. wil no rhc *ork fll rhe {turur t mr <br />i.ftldl oro[..cd for \rlc (SL{ 7044. a!\itulldid Ptr,fc\\ion\O clhcCo rac(r'\ l-iccnsd UN doc( nor dml, &, an oen.. of <br />lhcpn,pcn, !h. huilds or nqrrorcs rhcetr. md qho dc such trslk hnnculror hcftclfor lhmuBh his or hcr own cn{'loyec\. <br />ttulidcd rhar su.h itrl]rn,rc'rnh m mr inrcndcd q oniEn 6r elc lt hoMkr. rh. ti{ikiing or imprcremd is sB *irhin nnc Fr <br />or.rnnllcri()n. rhc O8.rr lluil+r siLlhnv. rhc budcn ol'povin8 rlN lr or slt did Bn nuitl or inurorc rhc popcnr lff rhc purlx]{ol <br />JZ--