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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unil
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Solfit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />FINAL 1 lq r( 1;,))
<br />Notes, Remarks, Etc U]'l
<br />{)WNF]R BINI,DII{ DOI-(:ARATIoN
<br />I hcrcby rflnn undcrucn.liy oi pcriury lhdl I !m cxcmnl lrom rhc Conlrrcftm l-icensc IiR r.r rhc rollowin! !c.br (Scc 70:ll 5
<br />Btrsincs ,nd Prcf.ssion Coltc) Ary Cny or CoLirt whi.h r.qtrircs d l.rnil Io .on(nd. alrcr. i trovc, de]nolish or rc|an any
<br />(ru.ru't. priornr irs tsuamc.oho rcquircsihc rrplicnnr r'or such I'cmil ro nb a sisncd{are,ncnr rhat hcor shc it li.cnscd PuruuaDr
<br />b rhe pn,visionr ofrhe C.ntrck,\ Li.eiscd Law (Chntrcr 9, Co'n ri.nre w h SNrio. 7m0 ol Dirhion:l of rhc Brsincs r..l
<br />Pn,rc$n,i\ Codc)orrhrr hcorshc Ncxcnpl thciclioDand thc b.sis lor rhc.llcEcdexcmpliqr. Atryridrri(,n.fSc.rion70ll.5Dy.ry
<br />aprli.nDr lor a pcnnn subjdsrhc opplicanl ro a.iilpcmllyo, nol nrrc lh,n livc hundftd d.llrn ($5ur.
<br />I.rs own.r dt rhc l,rori.dy. .r ry cnrI.)r{s sir h *a8.s .s thcir slc c.mNnsat ion. will do rhe w.rk ud rhc {ddm i\ Rn
<br />inlcMcd or oficr.d lnr sak (Sa.7()4,4. Ausinc$ and Pmtesions Codc l hc Conrructtr s Liccn\. Lrw docs nor apply lo m owncr of
<br />rhc pmpdry who builds or in$ov6 rhcbn. lNl qho da su.h $od( hi,nscllor hcrrllor rhrough his orhcrown cryil.yccs.
<br />p'oridcd thar such imF)vcnrnN rc nor i.rcndcdoroli:n l f(trslc.ll howcvcr rhc ttrildir8 or in{,DErEnr is sld kirhin,ft rar
<br />of conulciior. thc Owncr ltuitler will ha@ rhe hurden of Fmliis lh!! hc or shc did nor build or inryolc thc pN!6iy lor |lrc puryxNc or
<br />I. N owrr or rhc ,ioltny. anr cxclusivcly cotuacting wnh llccnscd cotrrruch^ b con{tocr rhc rtr,J.ct r scc ?0,1.1. Busi,rc$
<br />od hDfc$ion Conc lhcConrEcttr s Licrn\e Lae docs nor applyb m own.i or pmrcrry qho buildsor inrpnN\rhcrcoi.
<br />and qho .onth.a ror such prcj$ts Firh a Co mclo(r liccnscd lrunu!trr t' rhc Cunrackr'\ Li.cnsc Lrw)
<br />-l
<br />amcxcnrrr utrdcr Sccr
<br />lrsre' Osner
<br />]IOBKETS]I:OMTINIAIAN
<br />DESdAAIION
<br />I hcrchy alfinnundcr pcnolryoipe.jrry onc ofrnc ai,llosins dccl@rions:
<br />r&l hr!^ dJ nillmainr triCcnrfi.dcol'C,nrtrrL'ScliIn.urclia{,11c'-..r'ntr.dntr
<br />l]rh1 a,,,ic, 1,1 'h. nrl,{nk\.rlrh. tr^n iur whrchrhc ncnn 6F!'cd.
<br />.s rovidcd ior 6yS$lion:17ff) otrhc
<br />-lhrvcandrvillminrlhwortcscon,runsariorin\uraDcc.r\rcqtrndI)Sd1iotr1700.lrhcL6otCodc.nnrhcpcriorn
<br />nrcor
<br />rhc sor( iorwhichlhi\ pcrmir is is Mt(orkcs conprn\di,n, nNururrc .m icr .ft| nolicy numhq rrc
<br />4-( v
<br />I ccnilirhat ir rhc |xrhrnmrccofrhc work for shichlhispcflnil is i\ructl.l shall nor .ntl,,y any N^on i anymnncr
<br />$ slo hcc.m suhjed ro rhc {ortq\ codpcnsaiion l,trs otCalin,mia. rnd {8rcc rh.i iil should bcconE s'h}rr t, rh.
<br />sorkcrs conli.nsariontmvis.\olSccri()n:lTLnofthdLn&trCodc.lshdll.f(flhwilhconrPlysirhlhosptuvni(,ns
<br />WARNINC I'nilurc r. wurc $orkcrs Rnnp.n\ nn, covcrngr is trnl slll. itrd drll suhEd arr cnrdoycr n) rinrinrl Ixtr hf,s dd
<br />ciril fincs up lo onc hundrcd rhou\and dollr\ 1$iod ro rlr..{ ol.onrpctrsrliqr. damrgc\ a\ tn)ridd n, rhc
<br />S..ri,!, .1076.1 rl[ l.rlrtr (inic. i' o'o!
<br />I hcrhy lln ru dcrFfrhyol Nriur) r
<br />ol rhe Rusin.ss$d Pnrcssn,n\Codc.
<br />DEIIAAADON
<br />under nrclhion of Cllaprer 9 (cohftncioe wilh smln,. ?UrO) ol Divhion 3
<br />I to 1 ao-t L-ro
<br />I hcr.ht all]'nr uidcr rf,nrlry ot lcrjuy
<br />issucd (Scc .l0ir7. Civ C.l
<br />rcon ruclion lcndinsracncyforrhc pcrrortuicc.rtht woik ltrwhichlhn ncflnil n
<br />AIILI!;ANLDETUMIIQN
<br />I hgt{,y lnim lodcr p€nrlry otpcrjury.n. orrhc r.llowin! dclralions:
<br />Dcmolilion Pcrnih-Astcsros Norincari{nr Fcd.alRe8trlltion\ (lirlc 40. Prn6)
<br />-R.qutcd
<br />btrc, olNorincribi
<br />, ccniiylhd lhc lcdcr0lrcsuhliotrsrc-qrdinsrshcslos rcmvnllre nor {plicnbt tu rhi\ prcjccr.
<br />in,nflnrriotr is.om.t.l .B.e tocooDly*irh all Cirrand Coutrr!
<br />hyaurhtrizc r.Ec*nldivcs ollhis CnynDd Counry b . .r upon rhc
<br />,1,"u,
<br />ELECTBICAL-INSPECTOR RECORD
<br />Pole Bases
<br />Service lvleter
<br />t/.,1 I r
<br />)r ?,t*
<br />L{ds . AdJ'c.'
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