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APPROVALS DATE COMMENTS ()\\N!:t{ u( .trt:R Dul,( /\R,\ I t(rN TI hs.h! lffuni undo Fdrr of p6jury lhd I e crofl &.n rh. Conlr.ci.{' Lt.nr. k* lttr lh. nnb*'os rdrn (s.\ 7Il Bsi.s !d Profai.n Co<k): An, Cny or Cou{, whkh r.quta ! Fann lo codo<l .llq. inP.ors daElsl'-.r lt.r nrud@ Fbr b ir! i!@. .lo rcqdE 'lE aplkol tor suh p6nn lo 61. ! riSt'.d tirffir Oi lE or JE i licacd Frns! lo rh. Fnvi'oN of tlE Co.r..rdi Li.64d Lw ((tu'ld 9. Comdcins vith S<t'. ?firo of Divirioo I of rlE Bui6 tld Pmf{iod ('od.) d lbtr L or.lE i. a@ol thd!6oD .rd th. h6t lor ltE .lb.d BanFitd Arvtbtllionofsdnn 701I5 bv&v qtliur lor.Fn sbj..l! U. .9plicur b r civil Futy of &l @E lha liv. h6&.d 6lbr (trm). l.BotrGof EFlFry. d nydpb)G wnh *!g6c 0Et FL NmFa.ron. tril do EsEl.ntltldrEr@.d i'rd'd.d o, oE rql tc.L (S- 7044. AciB nld ProBtbG Cod. TIE Co,!r..rdi Lt.@ Ls &E tut lpt lo e o$E of rh. EoDaN *tb hril'l d !,FoG dEq^ rn wllo dG $dr vori huellor lErlaor rlmush hn d ha om qtpbv6. Furdalrh.t uh EFo\sd! Ed irdiLd do,Er.d tu et.l( hosEq, dE hu'di8 m idqlrrEr a sld riht oE v- ;Isr9l.i4 $. or{E &ilda wil hft UE hnr, oaFDvir rE t or dt{td d btild d !tF!w ltl FnFy ft.llEF BEof l. Eo*E ofrlk FDFrt. @ qclGn ly co'rrdilB \ih lr.d!.d oftloE lo @'ttlrud rlt F!t{ lsc 7O'&1. &!!E !d Enld (_od. TtE cdnrdcroar Lt@ trs doâ‚¬ mt qly lo e ouG of FoFly xlD ttild. o.6Fo1d rlEon. &d rho onrrr.fd.*h FDFI {th ! Corr.!.ro(3, lid FArEr h llEConr.dd'r kdE l.w) I m.rdd u.ddsdbn .B &PC ftlrfiittdon nQ8f,E8l:.CqUtldSAIlA! DECLaxAItq! I h6.by .lTm ui(b Fuli, oaFjuy oE ofd. follovi4 ddhirioB: -l lw. -d will dirl.in . cEtiard. olcoMn ro s.lf_trft ,q wlnt dFr.ri^ ! rm\iLd lor bv sdliin 17m of I ldor Code for lh. Ffollll.4 of t eln f!. f,tih llE Fnn t is.4 Ih.vc.!dwilloi.i!mll6rconFslrionillllfuq6tquirdbysdrion1700ofth.L.botCod..for$.Ffolrl:reof th. md lm whth Ui! tEmil ! iBEd My wql6- oipcurio. iBuc. trit id polia tunbc R Policy Nuhbs:-Eidd: I cdifrrhd in thc rrdfolfuc. of rh.N.rl for whichthis F mn t su.a.l lhtll nol mDloytnyp.Bon itr.nv mdnq $ Bk' bNori. tubj{l tu rhc wo d compqs.r'on la{3 ofc.lifomi.. and asrlhn ri| th.uld iE om.Nbjcrturh. sukqJ conrB io. trolGioN oISExon 37O0of$c Ltbor Code I shdl. fonhtrirhconply wiln lhos phvirhnr.. WARNINC: rlihr. to *u. wor{m smFn .lion cov6asc ir ulrwtul. Md shdl rubicl d dr9htr lo mind Frh...f,d civil 6n6 up ro om hunrtEd rho@d &116 (llOO.O(o). in.ddnion b rh. cor of compdstion ddn4d N F v a! r.r 'h.sdrnJ. 1076 ofrh. tttor Co<L. bta.! ald.nonEy r fâ‚¬ uclllEDlaxrlaqroaNECLAN TION I hd!b, drm urdd pdd, oa Fjoty rni I m lilB.d u!td6 FD\irion ot Cnrds g (otrlljEring wnh S.dbn 7000) 'r Dniiir 1 of (E aBitB .rd PmfEnd Co&, tt my li.c b h tull for td cr.ci Li..4 mhq consrxucrron LF{nlNG ^c9Nc}I h.ttr.ilt ud6 FdyorFrury$r lta. i.t.ldMbD ladn's lsEy tu E Ffrffit of rl. *-t t r rnit that F6a a isr.d (Sa. 1097. Civ. C I AIIUCANLDECIJSA]IO! I hdy .&n unda Frhy or Fjury .E of lh. fouou'its ddhrdioN: D.mlnion PGrnlAlhd6 Notifrdbn Ii(|qil R.auLI iod {Tnk 40, Pd6) Rcquir.d lnls of lkiftra{ -, carify rhn 0* lc<b.! r+ohth6 EsEdins s!6los r@oy.l e nor +!lt.U. lo rhi. Fj.d -l cdify fid I h.E 6d rhir lptlad io. ed nn. fid th. at vc info,iinr. i. cotrq:i. I .8rE lo Norlv *nh !U ( irv lnd ( ouii, odidftâ‚¬ rnd si.r. ts. Elntrs lo bildi,s coM.lhtr t d @ !(nhori,! r.F* dn6 of lhs Cnv ,.d Counlv lo Ei6 q'.n rlr ftovc m6lnn d propdy lor iropdlion purpos. DDllc{nl nr l.trl sknr'trF Site-Work Underground Pole Bases Lighl Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communicalions Cable Building Under Slab / Floor Bondinq / Groundinq / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilinos (Hard & Soffit Rouqh Ceilinqs (T-Bar Rouqh) Irileter Release Rough Service Meter FINAL tlttl,l I trshD Notes, Remarks, Etc. ELECTRICAL.INSPECTOR RECORD ID/SIG.