02-A(Page 1 of 5)Project Name:Enforcement Agency:Permit Number:Project Address:City:Zip Code:Note: For more than 3 spaces attach extr sets the pages 2through 5, together required.Enforcement agency Use: confirm by/DateAutomatic Shut-off Controls: automatic Time move Control and Occupant SensorIntent:Lights space turned turn off or set to a reduced level once not needed per section 110.9(a) & 130.1(c).GuidanceThis accept test kind must it is in filled out for every newly-installed l.

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