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APPROVALS DATE ID/SIG.COMMENTS or,r..-Buildd D€ldrio!
<br />I hd.by tfiim u.dd p.Mriy of Fju.y thn I m dcnB foft rh. Codndou Lienk Lrw lor rh. fouowi.S lEMn (K ?03 I 5 Boin6!
<br />ud Prol6.io. Cod.) A.y Cny or C6nry *hicn r.qut6 r p6nn ro 6drud, .lrd. improv., d.fulnh d Epnr ry rtu.M, Fior b n!iffi, rls rcqunB th. .pplicd for Bh Fnit b 61. . nrtEd flald rhr h. or iE ir li..sr.d Fllut b rh !@.ios of llE
<br />Cor'fu! Lia.sd l.w (Ch.F6 9. Chnffiif,g sirh Seri@ ?@o of Dviron I of rl, Bdin* !d PrcfarioN Cod.) d rh.l lE d
<br />.h. ii d.hpr lh.EfroD &d rh. hsn aor lh. .ll.tcd d.mprio. Ary viohrid of Serion 7or I t try r.y .pplio for . thtr objd! rh.
<br />tpplic.nl ro r .ivi I p.uhy of.d mrc fi.r ii!. hundrcd dollm (ltm)
<br />I, u w of !h. proFiy, d ny dployd st} rrad .t d'.t pl. dmpc.srioa eiu do rl, wI ud rlE rrlJdr n d idai.d
<br />or ofs.d aor nlc ( Sa 70aa, ButrB.,n PrcEsEnr Cod. Ttu ConlMd r Li..M trw dG ro..pply to u oBE ofrE prepary
<br />who buildt or ihprovq $o@,l- &d who dq tuch work ninElf or h.n lf or th@8h tut or ha om .npl6y61 pmvid.d lnr uch
<br />inprosn.nu G nor inrcid.d 6 ofta.d fd.l. I( howdd, rh. ttril.lirg d imp.ov.tld ir &l.l wirhin m !E oamnpldioq ih.
<br />Olc-Bu'ldc vill lIE tlE b{rd.n of provinS th! h. d nE d build d imp.@ 60, $c FrpoB oa sL)
<br />l, ! 6s.r ofdE popsrr, .n .rcluliv.ly ontdditrg wnh liccEd .on1n r. 6 6drud lh. Fojd ( Se ?oaa, Bu&nd! ud
<br />PmL.ion Cod. TIE Cdr,&oir Li6x t w d6 d rpply ro u osB of p.oFry wno blildt d imp66 daEn,.,n wno
<br />@Mdt fd 3f,r! p6icn rili . C6red(r) lica!.d pll ld b tn. Cdled r ti* L.p )
<br />_l m .x.mpt utd6 Scdior +B & P C for thit r.en
<br />DllC Ow
<br />UABEIBICAUIIISAIIAN.UECIABAIIaI
<br />I h.t.hy rfrm undd p.ulty oi p.rlury on. of rh. l6llopin8 d(lmnoN
<br />I h.v. !i will mhuin. Cdri6dc of Cou.n !o S.lf-l@ for wI6' @mD.urid\ ! provild for by Sdion l'r0o of dE
<br />L.b.r Cod.. aor rh. p.rfotutuc of th. wo for vnich r& p.mil t iu.d
<br />Ir{v..ndvill iM'! Pqtd 6mp linr,llllrrci! Equr.d by lErtn r70o of6.lrbG Cod., fortlE Ffo.D@ ofrE
<br />wdt aor *,hrch rhn Fnt ir is.d My wo.r6 66r.n..lid inrm6 6n .nd Dolicy ru6bd ec
<br />_E,qis _
<br />iThitKxo. n.cd notb.@mpl.r.d rfrh.t.rmii i, fo. On. huid..d dollr. {ll00lo,l.i,
<br />I diry dd ii tn. Ffollll.8 6l rE M.L fd *tich rtir Fnn i. iuld I nrlt d snploy uy pm in uy IuE s ! ro
<br />be@ Ebjc.1 to tn e.te'onFu!@ hrtof C.laomi.-.,a.9c r,!I if I.hdr b<.8 .ibJ6r b 0E wdtcr
<br />W^RIYING F.ilue lo '.cu wslm @mp.ndio.6v.n8c i! @1.*trrl, .rd rhrll objd u .hploF ro aiBinrl Fn.hiB ud civil
<br />fi..r up ro om huid,.d thousd dollB (ll@.o@),in rddnion to in @aof @np.utioi, drtuglr s provid.d for . S(tn)I 3076 of
<br />'lE
<br />Lbor Cod., i,n6..t .nd .rlqBr'r f6
<br />I I(:INSED CONTR C-TORS Df,CT {R TION
<br />I h.r.hy.m.m unds plulry ofp.rjury th.r I h lien$d undE pmvilon ofchrps 9i@do.6cingeirh Serion 70m) olDiviion I oa
<br />rh. BBi*B rn Profq.n)r Cod.. rnd my li..e i3 in tull lda !d ctr6i
<br />I lErcby .flim unda D. lry of pdjury dur rh.rc ir. @irDcrie l6din3 lg.tuy tuds p.rfomne offi. wI for which rhL p.mi i!
<br />iBcd (Se ,09?, Civ C )
<br />AP'LICANT'S DECT,ARATTON
<br />D.@lnion Pmng&b.ror Nori6..ron F.ddl R.auhbnt Crhb to, P.n 6)
<br />R.qurd L,nd of Ndi,ianbn
<br />I 6ir, d{ th. &dr.l r.8!l.rirE! r.!rdi'B .idd rdvrl c mr .pdt.bL !o 0it p.ojdr
<br />_ I en,ry lll I h.v. Ed thir .ppluriotr ud n.r. $r rh. .rD@ in6om.lion i! @r.d I lgrd ro @mply pn ! dl c y rnt Conry
<br />ordidicq &d Slr.l,.B r.l
<br />.bov. n.nrioi.d proFn, fd
<br />hd.hy &rhori!. rcpr.*.trtv.r oalhi, cny md Centy io 6r( upo. th.
<br />l,/ -
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torquing
<br />Sub-Panels
<br />Arr Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />IVIeter Release
<br />Service Meter
<br />FINAL o//oofur'T-Nr6 A?r-bdt
<br />Notes, Remarks, Etc tl u[
<br />ELECTRICAL-INSPECTOR RECORD
<br />nspocxon Fms\El6crEal-h3p6dron Rscord doc 03 31 06
<br />\-
<br />Rough
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