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APPROVALS DATE COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Ught Standards <br />S pas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltaqe <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding i Groundino / UFER <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />loof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilinqs (Hard & Solfit Rouoh <br />Ceilin gs (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter ,- <br />FINAL E-73-tE I t-o-f s,u2.6{€2 <br />Notes, Remarks, Etc. <br />^tl ^t <2 <br />OWNER BUILI}ER T'ELCA RATION <br />I hcrcby ,rfinn undcr pcn,lry of p.riury rhd l d cx.nfl fnnn rhc Co.ternr' Li..nk L:s li,r rhc rollowing rc,en (S( ?0:11.5 <br />Busincss lnd Pron$iotr Codc) An, Cily or Counly which hqun.s a FJnir ro consdcr. trlrcr, iml'rorc. dc.nlhh nr rc0rn dny <br />.rruch. prior b ns tsudcc. alv' equt srhc orpliclnl fu such pc,mi lo nlc i siErcd {lrcmnr rhar lro, shc is licen{d pu^arnt <br />ro rhe [ovisions ofth. Cotrr&rois Liccncd L{p (Chapr$ 9, connrrn.inB wirh Sccrion To0o ol Divhion 3 olrhc Busincss 0nd <br />Pmr.ssionsCodc)orrhat hcor sh. is crcmp hcrc(mn und rhcl,oris {or rhc allegcd cicntprn'n Any vinhioi ofSeri.,n 70.1I t bt rny <br />applic0trl foraF nir sulrjcchlhc spplicanl ro a.ivilNnaxyorn.r 'mrcrhan fivc hundr.d doll,n (5510) <br />-1, <br />rsowNr.frhc l)n,t iiy. rnu.tusnrlycotrkr.rin8 sirh lic.n\cd contn.bN tJ c.nnrud rh. pir,jc.r lSN.l(}14. Busnc$ <br />and tt r6si,D Codc: Thc Conrracrols Liccnic Las d.c{ nor spFlyro anowncr olnnrpc.ry $h{) brild\ or inpn,!8 rhcr..n. <br />itrd sho.otua.Bfdsuchtsjc.rwirhrCodnrkdl)lic..\cdpu^Mnirorh.ct)nta.ktrsLi.ctr€Lrw) <br />I an.x.n1pr xndd. Sccrio <br />I hcrchy {f,tn undcr Irmlry oi pcrjur} onc oil l <br />l havc ad will rtuiddi,r r C.nirrca.c of Conscnr h Scll l.\nrc for sorkds co'npcnqdriotr, 0s ptutid.d for by Sdion lT{n ot rh. <br />bhor c(ic. nrrh. p.rfodum. ofihc wo* lr {hich rhc tsn n issred <br />_l harc ond will noi.loin woltcn comFnsllion insurancc. rs rcquiGd h, S(r ion 3?(n of rhc Llbor Codc. fo, rhc pcrlortuftc ol <br />th. uort forwnichlhn p.mit is hsucd Myworkc$ conpnstion insumNecnicr {t policy trutr$crde <br />I ccdifrihrr in rhcrcrfornBnccofthc work for shichrhk p.rnir is hsled,l shtrll nor c'nrloyrnrp.B.n in rnymannut <br />so aslo h.ronr subjccl ro rhc worksr compcnsmion l.ss olC{lirdnr. and aBrcc rhd ifl si.uld hcconr tcclloihc <br />wo cn' mnlpcnsorion pmrisions oi Scd ion l7m or rhc tjlnr C'od., I sh,ll. fonhwirh dnnnly $ilh rhos po ion <br />IVARl\iNCr ts.ilurc ro ecnr. workc^ .onI. \arior Nv.rugc is unl.wful. ,rd sh,lt suhF.r in cmllo}tr b cnninal Fmlricr rlld <br />civil finc\ u! k' oft hundrcd rhouiand doll.s ($l(X <br />SNlion 1076 olthc btsr Codc. i.icr.sl and rturmy s <br />nnp.n\.rion. drnrgcs as nrovidcd lhr rhc <br />rllnmnnd.r ponrlrr_ol Friurrrh l rn, <br />I)[!t a&tr.l!]ur cr pn,lision o{Chrprdr 9(conntrncid! wirh Sc.rbn 7fiD) olDivhion.l <br />of rhc tlusirc\\ !n,l ltoltsi(,r Codc- mJ my licctr\. i\ ir Inllhrcc rnacilrc, <br />SO!$f,I]IIIONIENDIM;.dGTNII <br />I IrEby rmnnnn'l.r p..ihy.rFrjury th nucii0.on{ru.ridnhndingagcncylorrhcp.riofltutr..ofthcworkforwhichlhisp.nniris <br />i\sucd (Sft .109?. Cir C ) <br />AIPIICANLII}:CIABAIIAN <br />I Lrty ffi'n undcr n mlry of Frrury onc .f rhd loll,){ i'r8 Jd.l rdn,ns: <br />Dcmolirirn Pcrmirr A\lf,no\ Norificarin Fcd.ralR.3rhri{rns llirlc 40. Pan6) <br />R.qtrnc(l l.crrcr.l Norillcrrnnr <br />I ccn'fy rl,rrlhc lrdorrl rclrhlnnn reS rdinI r\h.{o\r.tr(rrlrr oor q,tlicrhlc () rl <br />asNrocompl, wirh dllchy$d county <br />ilcs ofrnh City Md Cotr.tyro.nr.r ut).nih. <br />,",", {-Za-Z4rB <br />l.cn' vrhrtlD!c4idrhi.*,'-,"*,"r s,\ y'*. .r"r <br />oha,cm rn.dxt'orr <br />s rpplic ion aM nrrdhir ficih)vc irlnanorion ncorcd I <br />con{n'crnnr. {nl hercby ulhorizc,crrcsclrlrr <br />fuqoy'z/t <br />ELECTRICAL.INSPECTOR RECORD <br />ID/SIG. <br />I. rs osmr oI lhc ,Drcny. or m, enrlolccs qilh wr8cs rr lhcn sob compcn{(ion. r'illdo lhc *ork u{l rh. (Mrurc is ior <br />iflcidrd or oltarcd fir {]c (Sm 7M4. Bu\iic\s ani lh,icr\ion\ Cqlc: The Coftacroi\ l-iccn\c l,r* Joc\ nor arply b rn owmr ol <br />rhc pn{.dy who hnik,(.r irprovcs rhcBnr. .trd shod($qrhsort hi'n\clforhcrsclforthnntBh his.rhc.otrncmployc.s. <br />providdrh skl, i'nnn,vot s d nor inrcnd.J or on'cr.d i(tr vlc li: holrvcr. rhc hu ildiry or i'Ifidt.b k $ll] wihi'r n s FJr <br />orcompLrion-ilx ( )sncr lluiklcr will hlr rlE hu cno, ptrJvinErhd hcorshc dil nor buil o. in{'rx! rh. popcny rbr rhc pulxE or <br />I'(' <br />L,rr\..\r,ntY, <br />Lendcr'. Nam. <br />- <br />tt <br />ffi