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ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communicalions Cable
<br />Building
<br />Under Slab / Floor
<br />Bondin g/Grounding/UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceili ngs (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Rough 7-21-l Yr-Wil
<br />Service l\/eter \J
<br />FINAL lo -ll'l g 9)t|.1fi
<br />Notes, Remarks, Etc lf
<br />OWNEN BUILDER DELCARATION
<br />I h.r.by aflirn lndq lr..dlry r,f p.rjrry rhar I m cic'npt amm rhc Grnt{roN Liccnsc tjw ro. lh. r.llowing rco$n (Scc 7031 5
<br />Busin.ss Nrn Pi{rr.rsnrn Cod.) Any Ciry or Counry whi.h rqut s r FTnt ro con{fl.r, allcr, nnprovc. dcmlhh nr rcrEn lny
<br />ed.rur., rior ro iri kuam. aho rcquics rhc apdi$r ror su.h Fnni to fih a siSocd st!'cmnl lhal nc or sh. is liccnscd puNanl
<br />ro rh. povtions ofrh. Co.lnctoii l-icen\ed l,w lchaflcr 9, Conmtuing sirh s.crk,n 7ux) or Diyist,n ] !f rhc Businc$ {nd
<br />PbfcsionsCodc)orrhsrlrorsh.n.r.q)rlhcrcrron,ndrh.b3\isrorrhcalhgcd.rcnDrion. nyviohrbnolScLlionT0ll5by{ny
<br />q'plica fo. a p.rnn subj(k Ihe appli.lnr lo 0.ivilrcmllyofnot nrcrc$an livc hundrcd dollas($500).
<br />I.ssowncrofrhcpn,lrny.o ny.'npk,y.dswnhwsEC\!srhctv,l...nrp.is.ri..willdorhcRorkindrh.sttrrurcisnol
<br />ir[c,rk]l or ulLr.d for srlc (Se.7()4-.l. Busiross tr d Pn,fc(n \ C.dc Thc Contrrttr s l-i.ctrr ljw doc\ nor trpply lo u o*ncr ot
<br />rhcpmpcdy Nho builds or improvcs rhcrdnr. rxl *ho dm\ \uch woll hinsellorhcrrlrorrhi{,uBh hi\ or hd o{n c rloyces.
<br />providcd lh0r su(h nntretlmnh ee nol irrdrdcJ o oltNt tu ! c. lt howcrr. rlr ttrildi'U or i'qx,rcnrnl is Mrd wiihin oic )un
<br />of.\nthrion, rh. Ownd auikln willhrvc rhc hordcn of pn,ving rltrr h..r slE did nor build or inr0mtr rhc lmlcny lor rh. pu{n\c of
<br />-1.
<br />isosncrofrhcr,rcFcny. amcxclusivclyconrdinA rnh liccnsd contricro^ ro otrsl[cr rrr prorcrr (scc ?04.r, Bu\ims
<br />nnd E fcsinCod.:ThcContacror'sLiccn\cl-asdmsDoratplrroanoqncrofl,i(,p.dywhobriltlsorinrForcsthcrcon.
<br />and 'ho.o.rtrdsforsurhpmj.ltswirhaOrtrrack'(OlictrsdpuFunrbrneGnr(kr'\l.tcn\eli*)
<br />I rmcrcnlpr uM.r Sccrio
<br />tlaatruE:rlll8rNtarlaN
<br />DICI.ANAIIO!
<br />I hf.hr rf,n,undrr p. rhyof p.rjury.ncol rhd tulh,wi'rg J..hzrhnsl
<br />l hrvc od will roinhin a Ccn inclrc or Consnr k, Sclf lnsurc for {ukcB conf.nv i{'n. \ rtr)lidcdr.rbrSc.liourTu)ollh(
<br />IitNr Codc.lor rhc nqlofl.mcc ofrhc sork r'or which rhc Ermil is hxucd.
<br />Ihrvcrndwillnrinlrinsorkcrc.onp.ns.rnrnin\uracc,.\rcquncdbySc.rnnr1700oflhctiborCode.lbrthctcrloruncco,
<br />rhc work for uhi.h rhh pcrmir ir issu.d. Mt wor*c^ r..rFnsario. insu!.ncc cnFicr dkl lrolicy numhcr sc:
<br />-lccniry
<br />thir h th. p.rfo,nuncc oirhc solk rbr wli.h rhn ncrnil is issucd. I shrll fr, cmrLy &ny pcrs'n in uy 'hMrr$ {s t, h..onr subjc.r b rh. w.rkc( conD.nqii.n ltrws orcrlili'mir. and lgm rld ifl dnnrld tr.otrE subjcd to rhc
<br />w r*.$ .on1pcnu io pn,vhions of Scrion l7(X) .f rh. txhtr C.dc. I shall, tonh*iri snrply qith lhoc flovisions
<br />WARNINCT F.ilurc k, $curc qorkcs c.mpctrsrridr covcflSc is unlaBiu. rtrd shnll suhiccl nn cmpl{i
<br />lniotr ro lhc con .fcoarpcnsorhn, danD8$
<br />I h.rchy xllnm trnl.r I[nrlrfotp.rjtrrt rhar
<br />DS;IAEAII()N
<br />I under provhioi orChapr$ 9 ((,nnftn.nr8 wirh sNrio.70(x)) otDivnion.l
<br />42 7ar?-'
<br />Ih.'chy llt r t ndi |xrxlrr.lncrir'! rh is a.- srtocrim lcndin8 agcnct ror rhc l,cridnmR. ofrhr "ork for whicn rhn Frmil n
<br />i\lucl(Scc :llD7- Civ C)
<br />,"-,r*"a.",rf
<br />ELECTRICAL.INSPECTOR RECORD
<br />APPHOVALS DATE
<br />[,4eter Release
<br />('n(1
<br />of lhc ltusircs and Pmlcssirns Codc..nd nryltctrr n in tullforcc lnd crd
<br />{
<br />AfIIICAILDIELA8AII9!
<br />I h.rcty anim undc{cnalty ol lErju,y orc of rh. follo*in8 dcclalal ions
<br />Dcrrclirion P..nn$A.b.slos Noiific.rion Fcdcnl RcSul{ions (Tnb 40. Pfi 6)
<br />*Rcquircd t ttcr of Noti6calion
<br />tc,lcBlrcgtrl ri(,,s r!3lrdi'{ hnovcnn)v lrrc Dor ffli.ahtu h rlri\ Jni].cr
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