ELECTRICALPermit No. ..4, 0 17.7
Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv;ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Em i / E e tricia e A m �� � - �`I` pp T fbrer �-C t G / • No. $ zfe ,d • 0 , Street -7`yr,.,
)Location and Legal D acriptibn Lot... 9 4. �L/ Block / Subdivision As/ Z.
Street and Number where work is to be performed —No /33 q7'6' Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Ve[ea /�
Service n erground Size Peeders/ o #1 Conduit 2 Main Sw ls� Amps Main Fuses Amps
Type of Installation — Conduit Tubing.... B.X.L .Metal Moulding
Amount of Permit S..
appeared
f7/ /9
MIAMI SHORES VILLAGE akfl --O /irp 9 /10 /9a
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date st3/ 0
O S F p 61 iM i °' No /9'3 Street
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contnetors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractor. . work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
(Signed)...
STATE OF FLORIDA, }
COUNTY OF DADE. es.
Before me, the undersigned authority, a notary public, duly authorized
/4
£ sf
to administer 'oaths and take acknowledgments, personally
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTARY PUBLIC, STATE OF FLORIDA.
MY COMMISSION EXPIRES: SEPT. 27, 1994,
BONDED THRU NOTARY PUBLIC ONDERVIIRITIR6.
My Commission Expires Notary Public, State of '.,ox.da
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice -for inspection; or
materials and /or workmanship.
aulty
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T•s
FIXTURES
NO
REFRIG.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
NEATER
W. HEAT.
CONN.
SPACE
N
STRIP
14
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAD.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
I.S HP
NEON
TRANS.
RADIO
TOTAL
Comm
LIST
CHECK
Permit No. ..4, 0 17.7
Application is hereby made for the approval of the detailed statement of the plane and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv;ida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Em i / E e tricia e A m �� � - �`I` pp T fbrer �-C t G / • No. $ zfe ,d • 0 , Street -7`yr,.,
)Location and Legal D acriptibn Lot... 9 4. �L/ Block / Subdivision As/ Z.
Street and Number where work is to be performed —No /33 q7'6' Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
Ve[ea /�
Service n erground Size Peeders/ o #1 Conduit 2 Main Sw ls� Amps Main Fuses Amps
Type of Installation — Conduit Tubing.... B.X.L .Metal Moulding
Amount of Permit S..
appeared
f7/ /9
MIAMI SHORES VILLAGE akfl --O /irp 9 /10 /9a
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date st3/ 0
O S F p 61 iM i °' No /9'3 Street
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations u an employer of
labor under the Florida Workmen's Compensation Act. being Section 5966, Compiled General Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub•contnetors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractor. . work to be performed under this permit, as are
licensed by Miami Shores Village.
(Signed)
(Signed)...
STATE OF FLORIDA, }
COUNTY OF DADE. es.
Before me, the undersigned authority, a notary public, duly authorized
/4
£ sf
to administer 'oaths and take acknowledgments, personally
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTARY PUBLIC, STATE OF FLORIDA.
MY COMMISSION EXPIRES: SEPT. 27, 1994,
BONDED THRU NOTARY PUBLIC ONDERVIIRITIR6.
My Commission Expires Notary Public, State of '.,ox.da
NOTE: A re•inspection fee of $1.00 will be made when such re•inspection is made necessary by improper notice -for inspection; or
materials and /or workmanship.
aulty
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name �l
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors) I /
New Building Remodeling.. Addition ! Repa No. of Stories
• STATE OF FLORIDA, 1l
1
COUNTY OF DADS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Z Z Date a 0
ss.
My Commission Expires
(Signed)
No / ?j
Street
No / s d Street
F.
6S
IS
( . Service Und eground Size Feeders Conduit 71 Main Sw ! -0) Amps Main Fuses Amps
n .
Type of Inst 11 tion—Conduit Tubing B.X.L. Metal Moulding
(
O
o}rr� of Permit $ L� ` Electrical Inspector.
I The undersigned applicant for this building permit does hereby certify that he understands and accept his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl Eida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub- ntractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of th work such public notice or notices
• as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. / � ��
(Signed)' /G/L C �� -� .- ? �_ d{9// �
Master Electrician. .
v '
Notary Public, State of Florida
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LICH
OU
O
•CE'P'7'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W..HEAT.
COHN.
AGE
HEATER
STRIP
HEATER
TOTAL
CONTR.
CHECK
E NT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
M OTORS
0.1 HP
MOTORS
1•5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address
Registered Architect and /or Engineer
Employing Electrician's Name �l
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No Street
State work to be performed and purpose of building (By Floors) I /
New Building Remodeling.. Addition ! Repa No. of Stories
• STATE OF FLORIDA, 1l
1
COUNTY OF DADS.
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Z Z Date a 0
ss.
My Commission Expires
(Signed)
No / ?j
Street
No / s d Street
F.
6S
IS
( . Service Und eground Size Feeders Conduit 71 Main Sw ! -0) Amps Main Fuses Amps
n .
Type of Inst 11 tion—Conduit Tubing B.X.L. Metal Moulding
(
O
o}rr� of Permit $ L� ` Electrical Inspector.
I The undersigned applicant for this building permit does hereby certify that he understands and accept his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Fl Eida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub- ntractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of th work such public notice or notices
• as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. / � ��
(Signed)' /G/L C �� -� .- ? �_ d{9// �
Master Electrician. .
v '
Notary Public, State of Florida
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building l' f i Col '/
Architect
Contractor
or Builder
Legal
Description
Address of
Building
4
1.
CONTRr.c cn OR BUILDER
'PERMIT N? 4957
Work to be performed under this Permit ) ��'""''`�"�` 7►+�'�''
1 .
MIAMI SHORES V LACE, .rLORIDA
DATE'
Signed: By
- INSPECTOR' -
Contractor's
License No
Mat. o
Petrnit
This permit is granted to the contractor o •u' :er named above to construct the building, or to install the equipment orlevItie described in the
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will he performed in compliance wi
plans, drawings, statements or specifications that may have been submitted to and approved liy the proper rnunicipxt1 autl cities. This Permit may be revok
at any time if the work is not done in compliance with such ordinances or if the plans ar& changed without authorisation.. further condition upon which, t
permit is granted is the understanding that the contractor or builder named above assumes thespo$sibility for a; thorough knowledge bf the ordinances;„
regulations pertaining to the work covered hereby whether shown on the plans for drawings ox the staternentso'r` . specifications and_ that he assumes resk
sibility for work done by his agents, servants or employees.
In consideration of the issuance to me of this permit I agree to perform the work cove-hreunder ip compliance with .a))1 or •as tagulao
pertaining thereto and in strict conformity with the plans, drawings, statement or specificati - submitted to the proper authorities. ,; X •� V'
In ac, ting'this pe •rnit l assume responsibility for all work done by either myself, my agent, want or employee.
,• �' ✓ i.!
BUILDING
ELECTRICAL
PLUMBING
Owner of 0
Building
Lot
MIAMI SHORES VILLAGE, FLORIDA
DATE DATE'L? -�'i' )- 194
Contractor's
License No 0
PERMIT N? 4957
Work to be performed under this Permit •
Architect /
Contractor
or Builder
Legal
Description
Address of
Building
This permit is granted to the contractor it , d named above to construct the building or to install the equipmen o devic- described in the appli-
cation herefor in strict compliance with all ordinances .ertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
Signed. INSPECTOR By
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinan s and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper aut es of Miami SJ or„e Village.
In epti fliis rrmit I ssume responsib' 'ty for all work done kiy ither myself ,my agent, servant or employee.
a y - e
CONTE AC OR OR BUILDElt
Bl.
Subdi-
vision
Value of
Project
Amt.
Permi
AUTHORITY'
te
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby ma for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address � f No __. Street
�._.� _ ___ r-r �— __�. _.___________.__
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
Block
State work to be performed and purpose of building (By Floors)
No. Street
Street
Date__
New Building Remodeling Addition.. Repairs
Service Overhead Size Feeders Conduit —_— Main Sw . Amps. Main Fuses
Underground
Type of Installation— Conduit Tubing B.X.L.______________.Metal Moulding
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. ss-
(Signed)
(Signed) - - - --- 2.2L
My Commission Expires Notary Public, State of Florida
No. of Stories
Amps.
•
,� ate. t __.'�'___• - - --- ifr
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. –�
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
1
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO.LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
� CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
CHECK
Permit No
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby ma for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address � f No __. Street
�._.� _ ___ r-r �— __�. _.___________.__
Registered Architect and /or Engineer
Employing Electrician's Name
Location and Legal Description Lot
Street and Number where work is to be performed —No
Block
State work to be performed and purpose of building (By Floors)
No. Street
Street
Date__
New Building Remodeling Addition.. Repairs
Service Overhead Size Feeders Conduit —_— Main Sw . Amps. Main Fuses
Underground
Type of Installation— Conduit Tubing B.X.L.______________.Metal Moulding
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. ss-
(Signed)
(Signed) - - - --- 2.2L
My Commission Expires Notary Public, State of Florida
No. of Stories
Amps.
•
,� ate. t __.'�'___• - - --- ifr
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor
under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com-
plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be
performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are
required by the Act. The under signed agrees to employ only such sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village. –�
Master Electrican.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
1
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
.O.
Motors
Receptacles
STREET
Stoves
PART OF LOT
LOT
BL'K
Other Apparatus
SUBDIVISION
Permit Fee
1
i r
b
ik; 0
1/2
/
-� .
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
L*
/ /
i
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building • • r
. K
if et.
Contractor or Electrician
Dated
f
J
aiami cShores9 llage
F L O R ID A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla ,
LO CATI 0 N
DESCRIPTION OF WORK
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
c plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
on the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
s Department.
. , ✓o
W in consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree 4o do the proposed construction in strict conformity with
Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
•es Village.
NUMBER OF
r /22.7 19
N? _ 619
•
, Electrical Inspector.
/g/ r .e � (Seal)
NO.
STREET
PART OF LOT
LOT
BL'K
SUBDIVISION
Signs
ft .
Other Apparatus
Permit Fee
Outlets
Motors
Receptacles
Generators
Stoves
Water Heaters
Signs
Billboards
Other Apparatus
Permit Fee
ELECTRICAL PERMIT
N. B. —This Permit must be on display on the premises during
the construction.
Owner of Building
Contractor or Electrician - t
aiami cS}tores'9illage
F L O R I D A
OFFICE OF ELECTRICAL DEPARTMENT
Miami Shores Village, Fla , 19
LOCATION
DESCRIPTION OF WORK
NUMBER OF
N° 619
This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with
the plans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code
If Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time
ipon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by
his Department.
, Electrical Inspector.
In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformity with
e Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the
ate of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami
'ores Village.
Dated , 19 a` _, (Seal)
THIS CERTIFIES THAT the wiring and apparatus installed at ete:
6' c
by - s,„1
for t
has been inspected and current is authorized to be turned on, until otherwise notified, for:
Size of Service
Range' rro watts. Water Heater )i
MIAMI SHORES VILLAGE
PERMIT
Office of Electrical Inspector No. 44 7
CERTIFICATE OF INSPECTION
Power: Connected load .* H P. Space Heaters watts
Other Apparatus
•
Address
owner, and and occupied as
Number of Lighting Circuits
• .
ELECTRICAL INSPECTOR.
watts
OUILETB
MoTW QP
RECEPTACLES
M
GrI1lPMdR41
y
WATER 'TERS
H
SIGNS
BILLBOARDS
OTHER APPARATUS
MAIN
a sic "
BRANCH
Basement
let-t4;i4
..
First
FLOOR
NUMBER OF
SIZES OF
OPEN OR
CONCEAL'D
NUMBER OF
CIRCUITS
OUTLETS
MOTOR
GEN.
MAIN
SUB
BRANCH
Basement
First
�� P
Second
-% c
%t „s,'
l ?
.!-
<)-'44
Third
v
\
/rle4
>
.
e
Fourth
Other
Floors
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for issuance of permit for electrical installation as described below, and for
inspection of same after installation:
Building: Old or new
Description of proposed work
Details of proposed work:
Number of Motors
aiami crhores9llage
41 Number of stories
F L 0 fl 1 D A
Owner ,� -'_ 'pia Address (71 Q c
Building Contractor 0 1 ”
Electrical Contractor
_40'
v C jc e (A ),- : ' C' '''''m , "
Location of proposed work: Lot o1 "' / ? Subdivision �" ,° ''',,,S '
H P Volts
Additional Information
Work begun
Work finished
Signature of Applicant
Address (if other than owner or contractor)
C� '1
/.i
( Used as
j/2
Amps
SPACE BELOW FOR INSPECTOR'S USE ONLY)
Inspected
k.) ( ' Final inspection
Date -6 193
Phase
, Inspector
t+ I