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ELECTRICAL.INSPECTOR RECORD DATE ID/SIG.COMMENTS OWNER BUILDER DEI.CAIIATION I t6.by r,Tnn unds Ff,alry of p.rury rhn ! s ddpr fi'on lhc Comra.$R Uc.N rrw tor lh. followins ,cen (Sd ?0l l t BsinBs .d Prol6ion Cod.) Aly Ciry or Coudy *hih ..quiG . Foi lo @Btucl. .hq. inprorc &Nlith or r(p.tr et sl^due Fin ro its isu*e .ho Equn6 rh. @plicel for such Fol rc lil. a !i8n d salMl lh.r lE or !h. ir lic6s.d pofr@n lo rk rovnioB oflh. Co.rrlor's Lro!.n h* {Ch.ptd 9, conmcEins wnh Sdlion 7000 of DrvitFn I ofrn! Bund ed PrcfBiohr cod.) or rhd b. or !h. ir .rmF tha.ton od rh. hcit for llE ,llcscd donFion, Any lirLlion otsalion 703 I .5 by sy lrtlicdr for ! p.rnir subj<I3 lh. lppli@l ro ! ciril p@h, of not mr. the lirc hud!.d dolld (1500). l. s om6 ol$. FoFr, d my onplo,6 *nh *,96 a th.n $L comFtuaiot! vill do 0E edr d E rtusm b mi i at d or olr@d lo sL (se ?044. Buin* ed PmfsioN co&r Th. conrdoa3 Lic@ ltw do6 not tpply to 6 ow or ih. FDFry who boilL d irprDE rlEo( rd who d6 r.! s hi@ltor tE*lf or Omugh hir or hq om dphtt6. povid.d lhrt such inprvocn! @ mr inrGd.d or ofisql forsb.I[ how, tlE toildnB or irporEndl i! hld *ahin o( rd of.orpkbI. rlE O"E A{ilds will h.vc llE hdl6 orFovi'ts rhd la d .i. dn 6t hrild o i,g!â‚¬ dE FlFly 6t tlE F,Do* ol t. B o*c ollk F{Fry. m q.hlnâ‚¬ly .onr,r:iinB with licG.d co.rr*161o otlnrud rlt FDj6l (Se. ?044. AGin6 Md Pirtsir codc: Th. Co.lrklo.! Li.cns. l-dw do6 nol apply to d oMd oaprcpcny *ho buildt or improv6 lhdan, dd *ho colrr-l3 for $.h Foj6b *nt r Coffio(!) li.dE drEulrlodECorrdrq!LacBt e).ffi- I h6cq lmm unds pdllly of !sru,,- om otult follor !U <k lraioc: - I h!r. .nd wiu @i.r.in . c.n ifd. ofcon$r io scla-l.u. fm *0116 oDFsnio,! a FDyilql lor by sation l?00 of th. Libor Cod.. hr Uc Ffo,l1@r of lh. hrl tor *'hich lh. Fnn G isu.d I h!v. .rd will miiirin *0116 cohpoBarioi icur$., E kquir.d by Sdrb. l70O of llE L{bor Cod.. for 0E Ffol],ec ol rh. worl tor which rhk pdir is is!.(L My wofi6 conFulrior tBu@.. cffiid ad policy nunbd tc: Poli.rNumb6: I .diry tn.l i. th. Flolr1m. of lh. srt lor whtt this p6nn ir iq.d. I ih.ll ml @01o, Dy Fsn in u, n4E ssrobao.iubjdrtothc@ltd'cooFerio.l.sorcalifomiadd'srthdirIJbuldheod.rubilcrtorh. srtd' omFB{io. Foririos ofs6rio. !7m oltu htor cod.. I .lrrL fonhvnh @nply wnh [E FtviioB.. WARNINC farlur. h lc...$c $oicn conrpssalfun mploF ro ainimiFEhi6 Md 'on. dm46 a FoviH ror lt.s!l fi.6 oD io orc ho.drd rnoMd d.alLE (ll s&lion 1076of lhcht .Codc. int66l d ,,",. o,/lo,/?>7--7- I h@by imm und( tdalry ofpojury th,l I @ Ii.ae, !n lq F.vi,ion ofChrptd 9 (cohMci.s wnh S<rion 7000) olDilirion l of rlE t\BinB od PrDraio6 co&. !n my n..M ir h full foB nld .lt cl cq!!lBIlCIlQ!l.!!0 llc[lcr I horty.frrn ud6 FrXyorFjury 0'i rlE ir. @rio.ibn lddnB !8Gy tor lh. Ff(nrlEre of lh. @r tu *'lth rhb Fni i! i$!.d (Sc.109?. Ci! C.). af.Itlcttr-DE(tlaaro! I n rb, .ffm !.do p6.Xy of pdj!ry onc of th. followin8 dEledDns: D.mlinon PdnieA.bcro! Norifu.rFn F.da.l R.gshioro Gnb40, Pd6) R.quir.d t!'d of Ndifi .dbn M;*';n,thc !bov. infon dion ii corâ‚¬r l irrd ro comply wilh.ll Cily lrd Counly .rd hd.by !url$rn. r.F* ary6 otlh{ Cn, arxl Count, ro oid upon ilE ,//{//OI7Y ^. z/o/D Site-Work Underoround Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueinq Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilings (Hard & Soffit Rough Ceilings (T-Bar Rough) N4eter Release Rough Q.t2.tu Dbp/fo.II 'r s-{ Service Meter ,..1 ,ll fn, \t?ht)l MAME sry Notes, Remarks, Etc t, APPROVALS I cdif, rhrr rh. Icddal rc8ahtr6 Esodi.s ab6td rm{vd e nor 0pplicrbl. b ln6 pmj.cl I II I I I I FINAL