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APPROVALS DATE ID/SIG.COMMENTS OW-]IER BUtl.DEf, DEI.CAR]ITION
<br />I h6.by rfrm und6 p6rty of pdiury thr I m a@F tom rh. Co'ind6' LE.e t * tor rh. folloEq 16, (Sa mJ I 5
<br />BGc rn Prol6.ion Cod.). tut Cny or C(dy *tth '!qui6 . Foi ro coldrocl. tls, !DP.ov.- dcDlah or lF.u Mv
<br />!ru.l@, rb, ro ilr beuFce .!. rcqun6 lh. .pplicd for $.h Fn t to fil. t tisEd ndaen lhd lE or {E i li.sed F@ar
<br />ro E FlvnDF of tu Co'llr&16! LenDd l,w (clEpi6 9, Coffii.A wit Sdlsn 7000 of Divitiotr ! of llE Butilr &d
<br />PmfdbB co&)sltr lEoriE i! danF $dc&os Dd th. b.r6 for E.ll.s.d dahliiof,. Any viohlion ols..ib,701L, b,s,
<br />.pphclnl for ! tEnn rubj..lr rhc rt?licd ro . .iril Fchy of Dl ttft O- li!. hun& &'lld (1500)
<br />-1.
<br />d .wn6 6ath. FoFty. d ny al9loy6 wnh *.gd s dEn $k @4Eua.( wil do 0E rsi -d dE ,r!Ec i d
<br />ind n otrrtd fo. d.lS< ?Oa,l. &!ir ed Prctusird Co<lc TIE ao'r8lq 5 Lic@ Lt* &e aoi rPply to e 066 ol
<br />ilE Ftpqly wh. btrild! or itrs!6 dEEa .n *b d66 sn sd himttor hd*lf or dmud hir d hd om @9lort !.
<br />Frit d rh! *h ilFo\dlEs G rd irdrLd doturd 6. rl t4 ho6q. tlE builditts d itrswoan i.56 wnhi! oE ]e
<br />of6nplrb.. rlE O*G B{ilda *i[ liw tL hd6 oaFovlB lhi E d .rE (M d hild or ilqoE ln. FoFt, 5r dE F,pc of
<br />-1.
<br />B osE.t$. FDFty, e gcllln l, @n -rry wnh bcd.d.0lf316l0 NDtEu.l llr FDFI (Sd 7044. &ri,E
<br />drd PDfri, ( o&: Th. Contfttor'r Lic.e Lw &a hl 4ply lo M omd of prlFly who b{ikL o, i6rt!v6 thcdn"
<br />ed shd @dlB fd rdr Fojcrt vth. Cofi..to(, li<E!.d Fr,!r lo llt cdncld . tilE lj*)
<br />I m.rdli undq Sdo
<br />D.r. OrE wo{<rRsit6iii;ria^roN
<br />!!cIAEAIIO!
<br />I @ rilm udE p6rly of Fjury o.c ofth. lollowing &.lr.tiou:
<br />-]|111 h.v. rd "'ll Mrlu ! ColrlEdr of Con€! ro s.lf.lNu. for P[k6a @mp.ndion, 6 Fovid.d fd by Sdrit!.1700 olilE
<br />t bo, Codc br rlE Ffffi of llE wt tui "t.h l,E Fnit ! ie.d
<br />.ds'll@i u m*6t .onFdion i,us.,6 (quird b, Sdbn l7m.r E l:rd cod..lorllE Fftu of
<br />tu *hth thi! Fon B isel My sttd comFEdion iourm. (ai6 3nd polty runbs e
<br />I LLard /,^3 (au-Ce Co
<br />tqtnnt *, -LQ
<br />-l
<br />cdiry $, ir llE Ff(|lr'e. oad. sorl tor whth lhi] p€mil i. isu.d. I Jull n.t mPloy .ny P6&n i. ey non6
<br />s s ro bdomc auqd ro rhc Borr6 @nFErion LB of Ctlifomn. md.8R lhd if I {buld beoD sbi.d lo lLqlitd onFsnbn FvtioB of SElbr l70O ol dE L.tr. ( oda I lsll. lonhwilh coingly * nh 0r- ForitioB
<br />n cor6.e. i! ulrstul. d $tll obd s dghF ro oimiid Frrit lId
<br />.nil fin6 up to on. huffLrd rlFusd doller llloo.mo), in lddilion lo I
<br />sd.lion .1076 ot rlE llbor Codc irE.n .nd .ndB ! f6
<br />o.", DLI - 0t- tq
<br />DECTJSAIIOU
<br />t hdrbr'dlm u*ta Fqty of Fjury thr I m licaE d ulxls FDvaion of Ch.FE 9 Gonlfuiis wnh sclbn 7o0O) of t ivnio.l
<br />of fi. Bsine Md P$t6bN Co&. d my lic.4 L h tull foR ,n dE l
<br />t4 "7
<br />r+e t- ta_
<br />clllilalr(Ila!.lElDllc.AcEtrcr
<br />I Hr .,Im u!d.r FuXy of FJu, rhn th6. it t otdrudbi la'dii€ rstr, fff lh. Ffollrec ot lh. wotk ftrr *ticfi $n pdnn i!
<br />isu.d (sd 1097. civ. c.)
<br />AlllltAuLDEgJa rlll!
<br />I lElby rfiin !,& p6!rr of Fjuy oE ol0E folt'\ ins &.Lrttio8l
<br />Dqnolirioo P@tt.Asbdor Nolific.lion Fdlcll Rquhl ioN ( tnt. ,10. Pan6)
<br />-Rcqut
<br />! lnrsof Noriicaion
<br />-l
<br />cdify thn rlE f.d6!l rcsuhlrcd tgsdins shcror rchortl d. nor q'r'ltab,. b ih! pNJd
<br />I .diiv rhd I n r. r.d rhir lpplic.rFn dd il.i.lh..bov. infonn ioo a.od..t lryrcroconPly* hrllC r.ndcounrt
<br />ordMft6 $d sd. t^! Eh!{ ro build',E dhE#dryd
<br />/
<br />EF@r.i!6 of fin ( ny t d Cdunr!
<br />'o
<br />da uFn llE
<br />rb.E m6rhn d Fordy for tupdrion pulbs
<br />Appli.rnr or aAol Stn.lurr D,t L.+-Ol-l
<br />Pmr,c,n.(prrno: Alt*Lel,.t'TaLy*
<br />1
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rouoh 1//D//?&'tM /fi-,'
<br />Service Meter tl
<br />FINAL //te/ta -444-
<br />Notes, Remarks, Etc.
<br />ELECTRICAL.INSPECTOR RECORD
<br />Communications Cable
<br />L.'n .-! Nlm
<br />-
<br />L.hdd , Ad&6
<br />I
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