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52 NE 98 St (2)1/ Permit No ;?4?)04 Amount of Permit $ X STATE OF FLORIDA, COUNTY OF DADE. I U. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date.. /.. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio: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 ^-/CE EZ/4 f2- Registered Architect and /or Engineer .. /1)//4) lij /..'.f. Employing Electricia _Name... 0.0 �! ... . LEG - 7 R _ Block Street and Number where work is to be performed—No sZ (Signed) (Si No 5 Street Ai' No 4' 6 9 Street Subdivision Street 60. State work to be performed and purpose of building (By Floors) 7- � New Building Remodeling 4 / Addition Repairs No. of Stories service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing.... ... B.X.L .Metal Moulding 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 - 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 undersigned agrees to employ only such subcontractors, on work cad under this permit, as are licensed by Miami Shores Village. Muter rician. Notary Public, State of Florida Before me, the undersigned authonty, 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 depose 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 0 LIGHT OUTLETS PLUG RECE'P'T•E FIXTURES NO LAMPS RE /RIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CL LIST / CHICK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. 2 /5} �rSI-' 41.1/43 MOTORS O.1 HP MOTORS 14E HP NEON TRANS. RADIO TOTAL - CONTR. LIST CHICK . 1/ Permit No ;?4?)04 Amount of Permit $ X STATE OF FLORIDA, COUNTY OF DADE. I U. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date.. /.. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fio: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 ^-/CE EZ/4 f2- Registered Architect and /or Engineer .. /1)//4) lij /..'.f. Employing Electricia _Name... 0.0 �! ... . LEG - 7 R _ Block Street and Number where work is to be performed—No sZ (Signed) (Si No 5 Street Ai' No 4' 6 9 Street Subdivision Street 60. State work to be performed and purpose of building (By Floors) 7- � New Building Remodeling 4 / Addition Repairs No. of Stories service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation — Conduit Tubing.... ... B.X.L .Metal Moulding 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 - 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 undersigned agrees to employ only such subcontractors, on work cad under this permit, as are licensed by Miami Shores Village. Muter rician. Notary Public, State of Florida Before me, the undersigned authonty, 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 depose 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. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ ELECTRICAL El DATE !' 2 -I 1 95/ PLUMBING ❑ PERMIT N° 7547 Contractor's - License No. ROOFING ❑ ❑ Work to be performed under this Permit Owner of Building Architect Contractor or Builder Legal Description Address of Building 1 1/4 J r Lot S t rI c Signed: 1 C._ Htt ■) -. Subdi- vision f 1 c Sq. Ft Value of Project $ / o c Amt. of Permit $ This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining 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 responsib ity for a thorough knowledge f the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the stat ents or specificatiorys' and that e assumes responsibility for work done by his agents, servants or employees. (A-'V L • it A S c._ INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered her - der in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications sub 1•. tted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibili for all work done by either, myself, my agent, s • ant or employee. ,( j ` r r CONTRACTOR OR BUILDER BY AUTHORITY 17 'LOOK NUMBER OF SIZES OF INSULATION OPEN OPEN OR Number of Circuits Outlets Motor Gen. Main Sub Branch ;ment— f c L •th - — r Floors — — — r orm 21t Electrical Department of the City of Miami Desiring your Certificate of Approval, application is hereby made for an inspection of the electric installation in the premises stated be- low, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Rules pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICA- TION WILL BE RETURNED Lot Number 4, Block Number i ' ' v' —t.. � . ! e ,' y Street and Number S' - e 44‘) ‘1 Side Al 4-777 4 7 Owner \-:,?, " �, .�./ �{ � Occupant ^.�_ Occupied as ,,f i'( i`.,- . 1 - Building —New or Old (underline which). Work — Additional or New (underline which). SPECIFICATIONS H. P. of each motor Number of Motors H P Volts Amps Outlets Motors Receptacles Generators Greatest Number of Lights on One Branch (Nature of Work) Open — Concealed Knob— Mldg.— Conduit 1 Bas Firs Seco Thir Fou Oth REMARKS• Work will be started (Applicant sign herer-X Received by Inspector CERTIFICATES Progress Will inspect again Rough Wiring FINAL No Corrected Temporary Days Approved Letter Date Issued SPACE B Correct Location Correct Equip DEFECTIVE Time Allowed Days APPLICATION DATE ) / ~ S . 1922:4_ Phase Stoves Xater Heater Signs Billboards Other Apparatus Will be finishe W FOR INSPECTORS USE ONLY 22 N Address / .t Street Inspected Electric Light Co. Fee remitted {emarks Inspector Permit No i MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date o2 �.d....�1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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. /� ,,/ ,� / / O Owner's Name and Address Sl o y..IT��f9 No �l �V' C. Street . 7P ST Registered Architect and /or Engineer Employing Electrician's Name QW 7a 'Pin' Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No qq Street State work to be performed and purpose of building (By Floora).a4.. �., New Building Remodeling Addition Amount of Permit $ service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L .Metal Moulding ((t (Signed). P DR. No Street Repairs No. of Stories (Signed) 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 subcontractors 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. dze.e Master Electrician. STATE OF FLORIDA, t COUNTY OF DADE. f ~' 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. My Commission Expires Notary Public, State of Florida 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 0 PLUG RECE'P'T S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER N EATER W. MEAT. CONN. SPACE NEATER STRIP N EATER TOTAL CONTR. LIST CHECK E NT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.11 MP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No i MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date o2 �.d....�1 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building of 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. /� ,,/ ,� / / O Owner's Name and Address Sl o y..IT��f9 No �l �V' C. Street . 7P ST Registered Architect and /or Engineer Employing Electrician's Name QW 7a 'Pin' Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No qq Street State work to be performed and purpose of building (By Floora).a4.. �., New Building Remodeling Addition Amount of Permit $ service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L .Metal Moulding ((t (Signed). P DR. No Street Repairs No. of Stories (Signed) 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 subcontractors 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 subcontractors, on work to be performed under this permit, as are licensed by Miami Shores Village. dze.e Master Electrician. STATE OF FLORIDA, t COUNTY OF DADE. f ~' 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. My Commission Expires Notary Public, State of Florida 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. Permit No APPLICATION FOR ELECTRICAL PERMIT V7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewi h submitted.fr 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. 6 Owner's Name and Address Registered Architect and /or gineer Employing Electrician's Name.. ✓t�L�La.���- zs�n... Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No � Street.M State work to be performed and purpose of building (By Floors) New Building Remodeling Addition ` Repairs No. of Stories /' / Service Underground Size Feeders VD Conduit y Main Sw 1 5 t Amps Main Fuses ..... /S Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and acce labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of has complied with the provisions thereof, and will require similar compliance from all contractors or su work to be performed under this permit; and will post or cause to be posted for inspection on the site o as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be licensed by Miami Shores Village. 65. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ' No 2d (Signed) (Signed) Date / Y` �' L � ® f.! 4 Street , Street • Notary Public, State of Florida "F , Electrical Inspector. pta obligations as an employer of rida Permanent Supplement, and contractors employed by him in the the work such public notice or notices performed under this ermit, as are Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. 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. ccv �'o 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. ACE HATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP N EON TRANS. RADIO TOTAL CLNTR. LIST l° 1 �zA,.,,,,� } ' �Z 4 /1 1 - CHECK 1 O-J xi Permit No APPLICATION FOR ELECTRICAL PERMIT V7 Application is hereby made for the approval of the detailed statement of the plans and specifications herewi h submitted.fr 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. 6 Owner's Name and Address Registered Architect and /or gineer Employing Electrician's Name.. ✓t�L�La.���- zs�n... Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No � Street.M State work to be performed and purpose of building (By Floors) New Building Remodeling Addition ` Repairs No. of Stories /' / Service Underground Size Feeders VD Conduit y Main Sw 1 5 t Amps Main Fuses ..... /S Amps Type of Installation — Conduit Tubing B.X.L Metal Moulding Amount of Permit $ The undersigned applicant for this building permit does hereby certify that he understands and acce labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of has complied with the provisions thereof, and will require similar compliance from all contractors or su work to be performed under this permit; and will post or cause to be posted for inspection on the site o as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be licensed by Miami Shores Village. 65. My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT ' No 2d (Signed) (Signed) Date / Y` �' L � ® f.! 4 Street , Street • Notary Public, State of Florida "F , Electrical Inspector. pta obligations as an employer of rida Permanent Supplement, and contractors employed by him in the the work such public notice or notices performed under this ermit, as are Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. 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. ccv �'o `.• - • 4 ' • • rr:4 ••• Permit No... D �/ APPLICATION FOR ELECTRICAL PERMIT 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 Location and Legal Description Lot MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Qr- xU,Q u No ,S 2, Registered Architect and /or Engineer Employing Electrician's Name No../ .� Block Subdivision Date / Street..4. 7R4- Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub - contractors employed by him in the of the work such public notice or notices be performed under this permit, as are The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to licensed by Miami Shores Village. (Signed) Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. I 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. My Commission Expires Notary Public, State of Florida 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 REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CO NN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No... D �/ APPLICATION FOR ELECTRICAL PERMIT 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 Location and Legal Description Lot MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Qr- xU,Q u No ,S 2, Registered Architect and /or Engineer Employing Electrician's Name No../ .� Block Subdivision Date / Street..4. 7R4- Street and Number where work is to be performed —No Street State work to be performed and purpose of building (By Floors) New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L .Metal Moulding Amount of Permit $ (Signed) Electrical Inspector. ccepts his obligations as an employer of of Florida Permanent Supplement, and sub - contractors employed by him in the of the work such public notice or notices be performed under this permit, as are The undersigned applicant for this building permit does hereby certify that he understands and a labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws has complied with the provisions thereof, and will require similar compliance from all contractors or work to be performed under this permit; and will post or cause to be posted for inspection on the site as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to licensed by Miami Shores Village. (Signed) Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. I 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. My Commission Expires Notary Public, State of Florida 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. FOR FIXTURE WORK ONLY ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI Desiring your Certificate of Approval, application is hereby made for an inspection of the electrical instal- lation in the premises stated below, for which the undersigned agrees to correct any infractions of the Nat- ional Electrical Code and the City Rules pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION ALL SPACES MUST BE FILLED, OR APPLICATION WILL BE RETURNED 7 Lot Number Block Number , �! ! ! >, ' - - Street and N�imber ' - I 4/ /r ,!.., , t Side Owner 1,'' 4' r _. Occupant Occupied as „t i Building —New or Old (underline which). Work — Additional or New (underline which). Floor Basement 1st Floor 2d Floor 3d Floor 4th Floor 5th Floor 6th Floor 7th Floor 8th Floor Attic Received by Inspector Progress Vill Inspect Aga' igh Wiring T Number of Lights CERTIFICATES No. REMARKS: �C --/... , will be finished - A r ' . 7 . Address .'� . ' . ._..s.- .. .._; ' '' f . (Applicant sign here) .� r ,r0-- ...... Street r ' / Days '.er Ceiling Outlets /SPACE ') BE OW FOR INSPECTOR'S USF ONLY / 1 ° / 3 '7 Inspected . l.j �f " � .� DEFECTIVE Time Allowed: Days APPLICATION / No. Date ! , 192 1 SPECIFICATIONS Correct Location Correct Equipment Bracket Outlets aTtt\A-ks �y4� Electric Light Co. Fee remitted Remarks: Number of Circuits A L