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APPHOVALS DATE ID/SIG.COMMENTS rITVNr,R BINI,DER DI'I,(: IIATIoN
<br />I hcrcby rtfinn dndcr F.,lry ol Frjury th l lnr crcnfl arcnr rhc OnnrcdoN Li..ne kw rbt thc tollosinE rcJv,n (s.r'7011 5
<br />B.iin.sr rd Pi(,rcsi.n Codc) Atry Ciy or Counry which rcqunc\ r Frit k' dnsrrucl. !lrs. impovc, dcmn^h .r
<br />^'Itrrtr
<br />i ,
<br />,rudrlrc. I,hrro n\ i.suancc. aho rcquircs lhc rpplicrnr n, su.hr.nnirk' ljlc! sisned (llcrB.r rh h.or\h. il lic.nsed JIUFU t
<br />n, rhc l(riinrnr of rhc Colra.lr'r Liccn$d l,ow (Chapr.r 9. Commkin8 wnh Section ?O(X) of Divnbn .] .{ rh. Busin.$ 8trJ
<br />Pmfcs\ionsCo.l.lorlndrtro.shciscrcBnrrhcrcrro$aelrhebrEhrth.rllcscdcrcmflt,n Anyvinhrir,nolSedinrT0rl 5hy,try
<br />opnllcnnr r,, apcnnir \!hj6.'h rh. {ptli.rnr to rcitllprn0llyormr Drdhln fivc hu ndrcd dorlds ($5m)
<br />l. tr\ own.iorrhcnmt'. t. or my en[],'ycc\ wirhsrsu\ i\ lhct {iLco llrnQrion, *illdo rhc ,ort and trE {mrm n nur
<br />ncndcdnrollcrcdl'orqlc(S(7(}44-ltu\irc\\andPn,f.si.tr1Cdltl'h.(iJ.lrrroi\l,iccnsel-rsdftrnot!!Plyloinowncrol
<br />rhc rhr.ny sh, buikh or iworc\ rhcmtr, uxl who &*s such rork hi'n\cll or h.sclfot lhrouSh hi\ or hs o*n.mDkiyuc1.
<br />lovidcd rhlr \u.n i'hprovcnEnh N mr ifrcqicd or ofiirul lff \rk I I h)rd!r. rhc hoiltlir3 ar in{n*.Nnr is Yrld wirhin onc }td
<br />ofc.mpkriiD. rh. Osn.r Buill]d sillhrw th. htrd.r ol'FovitrE rhd h. or she dA mr hoitl.r inPrr. rhc lrFrlr l rh. ,lrlr,{.f
<br />I. .s uwn.r uf rhc tln,p.dy. rn qclNilely .onrmcriry $irh liccn{d .nftdor. (' consrru.r rh. Pn,iccr (Scc 7(X-1, Bnnncs
<br />rtri l\Dli$hn O .: TicConkrct, r l-i.cn\. tis docr nor ryplrt' rnouncr ofrr.p.ny shr' huild..r imlhvcs rhcrcon.
<br />nnJ {rr)..nrn.kforsuchnmj.{ls!irhuConrrlcro(9liccnrdrrFxndn,rh.Conr0ctn\l,tcn\cIj*)
<br />l.Dcrctrq,l undcrS..li,in
<br />Drt. Osn.r woR(Fiv cortl Pr,\.mnoN
<br />D[Ct A.8AIIjIN
<br />I h.rchy alfirfl undcr rcmlrr of ncrjrrr onc ofihc f.ll,,si.8 dc.l.rorions
<br />Ihnvcnxl*rlltrrinl!in!ClnificrrcofC.ns.rrrSclfln\urcl')rrlkr^'(oDpcn*iotr.xsPn,vidcdturhySccliotrllTlx)olrh.
<br />Inhtr C,xlc. liir thc p. 'onrumc ol ihc tr orl fttr u hich rhr n rmir n '\{d
<br />rlrc s.rk rr*Iirhrhr tlcnnir l( NnRl NIy$orkcn .onlttrs,ri,n, nnurri(cudic' trkl tnky.!trrh.rJo
<br />--l
<br />ccniiyrhrr in rhc pcrr.rnB'tcofrh.work lnrEhrh rhtr p.irnir ir h{'ed.I slullnor c Dk,yntryncron intrnynunrur
<br />{, d\ r(, trcoi. \ubjljd t() rhc xo.*cB cnmpcn\ir i,D hw\ ol Calif,nnir. rnl +nc rhrl il I nnrukl tEcom srbFr tu llt
<br />workcB conrF,rsation ,mvnion\ olsccri,,n.lTlxt ofrhc lrhn C(xlc.l$rll. fonhwilh comll, wiih rhos rtuvision{
<br />civil inc\ tr|] h on. hundrcd rhousr
<br />Sc.ri(,n 1l)76 olrhc tihtr C.ic. inrcre(
<br />".,,, luo<u>
<br />n, rhc coi of .otrr,icn\rr$n- nrN'gcs
<br />!]Irttllrcr
<br />I h!N6y il6rm utrd.r pcnahyorperjury rh, L li..nsl und$ Imvision ol Chlplcr 9 (commnc in8 snh S.cthn TOOo) ol Divi\irn .l
<br />of rhc Businc$ {nd Pblcshns Code, ,nd ny liceny is in tull fnrt dl clLcr
<br />tzl ofl l)-
<br />issucd (SLr :1097. Civ C ).
<br />Lxrldcr'. \Jnrc
<br />rffllc6lfDEllaaauoN
<br />I kftrry ri und.rr..axyolt rjury om ofrhc follo$ins dcchnri,n,s
<br />hnrniri,,n Pe.nik A\h.\ro\ Noriricrrion Fdl.ral RcSuhriotrs (lillc40- Pan6)
<br />-Rcquircd
<br />If, rrcr of Norili.arin
<br />I.cdrlyrl llrfcdcrolrcsul0ri,)ns rcEulirg a\hc{o\ rR,rrl arc tur anflic$lc lo lhhIr,tccl
<br />Iccnityrh lhrurr rhA rfll'crrnr md s.t'rh.r rhc ihrc ifhtrR i('n isrorc.r InBr(ro$mnlt!'ili!llCiryrid(drnr!
<br />mlinrn .\ md Srrrc L,*s rcldi"!r,htr'!J rg.or\rnr.rx!r. utrllrrchr_) rIrn.rq]r.\r rrrnrinrhr\(irr_rtrtl(in,nryt,rnr.rtrtx,,rlt
<br />nh,v. trrnri,trrd tropcny ntr n\r.rntrl
<br />i\pt,lir r,tr ,\renl Sixnrltrrr
<br />,,r^. €u '4"4t>'
<br />Site-Work
<br />Underground /44q-w ^1o \,@ &2 ) Kl
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding I Croundingy'UFER )/?//t//a 1fivnvd-brit 4/^ @)/
<br />Translormers l!/ /"
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Bool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Itileler Release
<br />Rough
<br />Service ltrleter
<br />FINAL 4/0-/8 t/ztr*,(vD
<br />Notes, Remarks, Etc.
<br />ELECTRICAL.INSPECTOR RECORD
<br />Pole Bases
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