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ELECTRICAL.INSPECTOR RECORD DATE ID/SIG.COMMENTS OWNER BUILDER DEL('ARATION I bd.$' .lIm u.ds pduht of Fiur,v lhr I m 6mF nln rh. Co r&16 Ltc lrs for lhl lollo*ins t6. (Sa 701I J &silB !n PhlBir. C.&): Ar!. Ciry or Cs ) $hi.h rqliB . FBa lo olaru.r. rlto. inrFltq .kmlilt or q.r -y srddui Ftu ro it! iBueq .to r.qun6 tfic 4olicur lor $ch Fni ro fil..3isn d nd.lffi thd lE or dE a ltd*d putsun !o rh. IrrvtioB of rh. Conrr.loii Li..n*d t e (Ch.9r6 9. (-omm6cins q,ilh scrior 7000 of Di!i!ir. 1 .f lh. Buin.s ud PEa{ilm Co<|.) or th.l lE m iE b ddpr ltd.ioi rrd lh. tt i tor rh. .lhs.d .rnrr k. A., virLlion ofs6rir. T0!l 5ID e} .tpl(rd fo. . Fnnn rubjcrr ilE @li...r ro r ci\ il FMt, .f mr mr. rha fiv. hund.d &,118 ( 1500) l. s otrF olrhc I'qEny, nr my @th!6 {nh *r{6 s rh.n $k.omFMion, \illdo tlE $dt &rd [E nrBlr n fri iddi.d or ordd f( $k (Sc 7o{a. A$i6 od FlsldioN (-nd. nr (nnrrld 3l.-.G lr$ <b6 d +Pl! io u orE of rh.FTEry qln t!il6 or i,r{Fr6rh.F( rd $t d6 kh *nn hrelf or h6*lf d rlrou3fi fiit m h6 ow pldy€, previd.d rh.t such imrrovoql! e d idqn d or oilsd for sk l( ho*ds, rh. blildiiu or inForscd ir $ld wnnin on. )d ofcoh0kiotr rlE ()$n6 B{ild6 will h.r. lhc hnt6 of Fovinn lhi lE tr slE dij mr lx'ld or i4ro\. rhc .rbFy tur llE Fup(t of l, so$ndorrh. I'opqiy. m .r.lBiv.l, .od6.! in8 wnh li.6kd conrldoRto codruc1rh. proj.( (S( 7044. BuilB ,tof6.ir Cod.:1t. Conlr.clor'i l.(or. Lr$ dc mr q,ply lo e os.6 ofprop.n, who boild! or improvBlh66.. $h. $d8r. a.r $d F.j.(s $nh. Co n.n3) ltda.J p(l!d ro rh. Co'rrrlor3 La.B t ul Irnc\r trn(to S..ri((l tht. ()ird \\ ()Rl(F RS', (',Or\t PEtiSA r lO,!t Dt cL6&\Ilo! I h6.hJ amin unrl6 rmeli! ofFjor!on..lrh. nnL\t iru d(hriln)ns I h.r. nn f,ill ruimlh . ( d ifE.r. or ( otmr ro s.ialcuc t r *orld .onFdrn. a F.\iLd aor b Sa! io. l7(r0 orrh. tlbor codc. aor rh. p6forune of th. wod lm utkh lh. pamit ir i*u.d IlI.\..rduilln.i lin\o 6- omFNtbn iBur.r.. s r.qun d b sdi.n l1(xr of lh.l.ho. Co<b, f.r llE Ffolm ol rrr mrt fo, *hi.h rhB F6n ir lod My *ort6' orpdsrhn ilElll . (mir an Fky nuntE .c: I cdify rn r in th. pqfortunc. ofrh. sorl f.. $hrh rhB Fnrir is i.!!ai. l sh.ll ml mploy D, Fe. 'n.nymmEb B k, tr.o@ st <t to th. $rt6 omFqbn Ls! of C.lifomi& dd cc lhn rf Lbuld hdom sb,.d ro llE $ortd (onrFMrh. Foli$N of S.cl i,tr 1700 olllE t{bor ('.&. I shll. ronh*irh sniply * iin ihx Frvai,N WARNINC Flilu. to $u. rortd FmlEldio. sr-rs. ir unh$lul. .nd slull $birl 6 dphrn lo dimiml Fdi. od cirl fin6 up ro oE hu"d.rl rhoued dolhn (tlm.mo). i. *tdnirn ro rlE (d of conFEr,oi. <lrn 86 a F$iLd fot llE Serhi 1076ofrh. hbu Cod., iddd Md dbrEy'r f6 Drr.: A ont:'' r rtE\a6?'(-rN rn a( n'i- DEClJBAUqts I fiftby imrm unds DmltyolrEJurylhd I M licdr.d undd l'.vBion ol( hlll69(c.mnmiry u'ilh Sc.rsn 7000) ofl)ivirion 3 of tlE lldinB .rd PmldioE Cod.. sn my li.e n iI tull rod tn.iT<l coltlf,!]crul!.LElDlB{;-acEN(} I h6rt! .,Im undq Fdt ofFjo') rh. rlE i! ! (dru.lio. hnins.sn) for lh. Ff(ffi. of rh. $ql i'.$trhlh. FDi i! nsu.d (sa 1097. ( ir. c ) AIIUIANLDECI,AEAIIII! t hod' rrm ulxl.r Dorh} or Fj6) oE of rh. folh*'.8 d..led hB: D.mliriof, P.mn*tub6rG NotilE.rre. F.ndl R.8ulrioa {Tirk 40, Prn6} R6tut.d l!'6 of N{'lifrdion I cd,fy rhar r h. f.rldal r.tularioB rqddlll3 ertEilos ro.or al ar. nor nppli.rbl. h I hi lrojd I di6 thr I h.r. o.t rhb rrplilt io. rd J!t. rht !h. .tnr. inaolfuni ir .orrEl I lsrE lo ompry * ith .ll chy !trd ( ounry cdid 6 !d 9.r.l,$ diiB ro hilli'B.otuiotr in lE.try.dhotu. EFerr^6 orthn Ciy di Counly lo o a qn lrt !bov. lmthn d prorEny for iE Edbn pdF6 Applic.nl or ,\tdl Slenrlur. Site-Work Underground Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Bu ilding Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rouqh Ceilings (T-Bar Rough) Meter Release Rough Service Meter I FINAL {/u/1 .1ffiA * Notes, Remarks, Etc APPROVALS Pole Bases Yl