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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OM6-Buildd DelL',ri6 <br />I h.r.by amm un.Lr pcrdlry of psjury th.t I m q.hpi fm th. Conlnc!6 Lic4c Llw aor rh. followins lw@ (q.701L5 BcinB <br />&d kolsion Cod!)r Any Cily or County vhi.h Equird . p.oil ro .osE!ci. aha, imprcvc d.nolish or Epat sy sirucrw, ,riq ro ili <br />isrusc., .ko Equirq fic .ppli6l fd such pmn to fih . rign.d 3rr@or lh.l h. q rh. i6 li.6scrl puBuat lo lhc provi.id3 of rh. <br />coi&mid! Lica&d Las (Chafld ,, Conh.nciis wnh scctioi 7000 of Divirion I of thc Businds dd Profc$ionB Cod.) or O.r hG d <br />shc is qchfl lncr.fM ed $. bais fd rht all.8.d saprion Any violarid of Srdon 70]l.t by uy applioi ior a p.mir subjar $c <br />applicdl to !civil pqdty olnol rcr. th& fivc hun&€d dollm (t500). <br />_1, a oMd of $. F@.ny, or ny oployq wid' *ag4 6 rhctr solc cohpqBarion, will do $c vorl dd rh. srrucru. is nol irt.ndcd <br />ot ofi.rcd fs sal. ( S.c.70,r4, Buings dd Prof6iotu Cod. Th. Contutor's Licds. L.* doe .d apply ro .n ow..r of thc prop.rq <br />who builds or ihprovs th6.on, &d *ho doc! slcfi wo* him.lf or h6.lf d throuSh hir or h.r own 6ployc4, prcvidcd that slch <br />imprcvm.n(s e. not int nd.d or offdrd ftr !al. Ia,h d...6c buildii8 r imprcvdor b rcld vi$ii oicrcdofcohpl.lon, rh. <br />Ownr-Builde will hat. tE burd.n ol proviig tllal h. or shc ior build or ihprovc for thc pu,pqq of sal.). <br />_1, 6 owoa oa th. prcFny, M .xclBiv.ly @!.&nng with liccnr.d conE clo6 ro coNtruct th. projcd ( S.c 70a4, BBi.e ud <br />Prcf6lim Cod! Th. Co.l..crq'r Lic.rs. LN d@ not Ady to e omd ofprcpgry uho buil{h or imFDv.s the.on . ud who <br />mnrrrcB for such prcj*ti vith a corrr&io(, lic4s.d puBner ro dc coracror's Licasc Lrw ) <br />_l m.xmpt undd S.cdon <br />v9axEaslo!4EErsarlorlDEctaaA ! <br />I hereby aifim undcr p.nalty of pcllury onc oathc aollowinB d4laario.s <br />_lhavcddwilim.i rin ! C.ni{i@tc ofCdsdt to S.lfJnsurc for wo*.6! 6npcn5dion, s provid?d for by Setid l?00 ofrh. <br />L.bo, Cod., fn 0tc p..fm4cc ol dc woft for which lh. Fftn n i$u.d <br />_l h.v.ad*ill orinr.i. wtrkcR cdFiiation iB!6cq d rcquiEd by Sction 3700 oflhc Libor Cod., for (h.pqlomecc ofrh. <br />work for which dris pmil is hsucd My workc6' compasalio. inslree cni.r ed policy numbq d. <br />Policy Numb6 Erpi6*Z::: <br />E;..,"tu..r," <br />no! bc conplcrcd if thc pmil ir aor Onc hun&.d dollE Itl00) or ls) <br />rh. p.rrmdc. of th. woik lG which rhir pmit <br />$c wo*d ' cmp.nsatioi las orcdlifmi\ ud <br />oi rh. Libor Codc, I shall, fonh*ith <br />WAnNiNGT F.iluE to s.c!E workot @mpcNarion <br />fin6 up ro o.. hundr.d docmd dolls (l100.000),in <br />rhc L.bor Cod., inrr.sr od .ttm.y's lB. <br />a trovid.d for $c scclion 10?6 of <br />LICENSf, D CONTR"4CTORS DECLA]T ]-IQN <br />I hncby ailm undcr paalry of p.q ury tut I e lic.nscd uidr provisior of Chaptd 9 <br />thcBusinc$ ad Profdsims @., dd hy li..nsc i! in lullforc. ud cflccl <br />I h.rcby !fild u.da poal9 ofpdjury lhalthft L. conntucfon <br />i$u!d (S.c. 3097, Civ. C.). <br />oilhc wdk for whrch thi! D.m'r it <br />APPLICANTIS DECT,TRATION <br />Dmotnion P.mit5-Arb6rG Nodnc ioi F.ddal R.Sul.riot (Tnl.40. P.n6) <br />R.qutcd Lcucr oi Noifi cation <br />ro comply wirh all Ctry nnd County <br />v6 ollhis City and Courty lo cnr.r <br />6bovc Ecnlion.d proFny fd i.rtEri@ <br />--t> <br />/o <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 />Bonding / Grounding / UFER <br />Transformers <br />Torquing <br />Sub-Panels <br />Air 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 />Meter Release <br />Rough <br />Service Meter EXI ,IRED <br />FINAL <br />Notes, Remarks, Etc.FET u I lutS <br />SAMC 8-43. 290 ss6 ^^? <br />Under Slab / Floor <br />Lada's Addrs <br />'1- <br />=