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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Wdrk
<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 />Communrcations Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilin gs (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter ,lo,tL^'i*^.t *.rJ----:-\
<br />FINAL 7 'r -1 L-l t-t-/-.'9-/
<br />Notes, Remarks Etc UI
<br />OWNER BtI II,DI'R DELC R/lTION
<br />I lE rtry .frm !nd6 Fnrl'y of FrJury rhn I @ .ranF ilr rh. Cod6.loE' LidB lr*' fo, rhc tollowds l.@n (Sa 7011.5
<br />t\dn* !d ftoadnn Cod.) Anr C.y o. C(d,_ *hth cqui6 ! Fm ro m6rud, .n6, i,F.o\q damlitfi or EC.r D!
<br />dtuduq rmr b n! Buftq r!. r.qu,6 rrE +rlid for JEt Frr to nL r sisn d ulclEr rhd lE or JE i! licas.d plmd
<br />to rh. FtrvisioN olrhc Contr&tois Lico!.d L.w ((-h.rrd 9, ( ommminr *ilh Sarion 7000 ol Divi.ion I ofrh. B6in.s ed
<br />PrefdhN Co<k)( th.r h.( !n !.t@r( rhsdon ud rh.tBi for rh..lLs.d ddFirn Ary ehLrior ofs..rhn T0!1 5 t, D,
<br />.ppli..n' ft aldsn fubjdr rlE .!pli.dr ro ..ivil F hy of fu| frr rh.n fiv. huid.d dollt ($00)
<br />L a ou6 of th. FoFlr. o. my oplolG *ilfi *!96 B rh.t sl. comr.Mion. sill & llE wrt,n dE rrElE ir ml
<br />hExLd troirdd f6 eL {Sd 704{, &!iB 6d Protdio6 ( o& Tn (ni,-tG'.l-r* t w d,6 m| +dy to - orE of
<br />rh. FFry wh. hill q inrmrE tlE@ lxl $,l[ drE erd k t hiMlf or ha*lfor
<br />'tuo!8)
<br />ht n lE o"r.nphyc,
<br />Fovilal lhlr ruh imprnr.MB @ d idoid.d dolEld li,r n]G lt ho*6!, tlE hrildins or insDlsrE i! $ld shh'n o( )6
<br />ofomrldiol! th. osnq Buiklr will hrrc llE hilln ot F$vins lhr tE or CE dd mt huild or hFo\r ln. Fopdy ft'r rll FrF c of
<br />l. d o*n6 ofrh. Fopdy, e .rcluliv.ly cotur.lin! *nh b(d*rl.ofu.(on 'o.odru( rh. FiFG ls< 70.14, &!16
<br />rnd P'.i!.i.o ( od.r Th. Conk crois t-icmr lr{ do6 mr 6prly ro u oue of FoFly sho build! or impror6 rhson.
<br />ud *ln mdlB fd 3kh FrFr rhh. contur(rt lk.i!.n F,.d kirh. c.ffidi Liog lrs)
<br />"V;/il:
<br />\\0Rkr R\' ( (.1\lf [\\\ | t0\
<br />lhs.by.mrm und6 p.nalty or Fjurt
<br />I h.w rd will minr.h r Cdirrd. otCond ro s.lf-tBe tu Nrtd-@npcrior.6 FtrviLd lbr b/ s<ri,n l7m of rl'.
<br />Labor code a (h.FfM..frhchrlf sti.h lh. F !n b is.d.
<br />I h,!. rild wil, @nr,in e.it6 ..mFernrn iMr!rc.. B rquiEd by S6ri,D l7o() of th.ljbo. ('o<lc lor llE Ff(M..f
<br />rh. url fM *nih thir Fnn . i-d My @.t6' onpqBtirn '6llja. c.ro dil lbliy dntE E
<br />I ccniay rnll in llt Ffom.nc.oalh. w.rt for whi.h rhis Fnir i. i5su.d. I rhrll.ot dplo, s, F3on in Mysllw
<br />s a 16 tE or.ub6l ro rrE sori6 onFl!.Iion l&! of Cdifomi{ Ed {R lhd ial Jruld b...m $bj6l l.llE
<br />$.r(d..nlpnBlrFnFornb6ots..li,nITOOotrh.litrtrCo&,IJEILfonhqnhstrp[snhrbeFovilioB
<br />TVARNING: Iailu,. !o su. $.rk6' c.nlFnrlion .o\ftx. ii unl6(iul. md shrll sut jdr e dl6rq ro 6i,nind rmhi6 dd
<br />cnil lins up to oE hund.d rh.@d &illc lfir,txro), h x!n$n ro rh. .oc of.onFadio.. d@!t6 - Fo\iidi for lt
<br />2)2{)11
<br />lltLLut!!(
<br />I hmby.miin undd F.alry oftEjury rhd I m lic.N.d undo Fo\i'on oa(18O.9 (.o'nma.i.ri
<br />of rh.Ildns md Proa<ri6 Cod.. id ry lic.e s in tull foc. axl.ald
<br />qoxfrBlquo!..LrrDltc Et(f
<br />I hq.by lrm unda FEIy of Fjurr rhd rhs. ir . olgtuniE Ldi,B .ga, tu th. Ffm oirhc srl l$ vhih
<br />'hir Fri i,isld (sG 1097, civ c}
<br />APPI I('AN'] DE('I ARATION
<br />I hody .trm un(Lr Fmh, of Fjul on. df rh. followirs delr!r6n!:
<br />Damhhn Panetu no. NolifK.tion [-qlsr] R.srLiFB (TiL.l0- Pm6,
<br />R.!tun.d Ldrd olNdifi .di).
<br />I cdr0 lhi llE f.dcnl l.8utdioc Eridh8 .rbdd r.m\.1r. mr {'plk.bL r. rhir F.i{
<br />I tht qrdicarnr sl.rc rhd rh.!b.\c nrlnrnrrFn F ror.cl I iNelo condy trnh all ( ilyand ( ourt""'--,,%l;;;"
<br />ELECTRICAL-INSPECTOR RECORD
<br />4t+^* FL-.->
<br />Sub-Panels
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