ELECTRICALPermit No ..X./
New Building Remodeling Addition
Amount of Permit $....
STATE OF FLORIDA, t
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
es.
"id ZM No 73
11 .l� 7
Block
(Signed)
Date
Street..
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, Fiu: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. ..... / .SC�/r!
Employing Electriciati'e Name 4yZet
Location and Legal Description Lot
Street and Number where work is to be performed —No
No / / 'tl Street WE; / D / ST.
Street
Subdivision
/o /Si
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories /
Service Overhead Siae Feeders Conduit Main Sw Amps .Main Fuses Amps
Underground
Type of Installation— fonduit Tubing B.X.L .Metal Moulding
6 / . T/ /V q 'ee4 () E .. / ...... — PL net , rsE 44/.62 • h7 / TE F
33 . / ®p
4 . ..�
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 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 s• tion on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub- .ntractor. on work be performed under this permit, as are
licensed by Miami Shores Village.
Muter Electrician.
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
PLUO
RECE•P•T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
NEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEAT / ER
TOTAL
C L
LIST
CHECK
�`' -
L
((
5
.--
/
/
/
t'/
,
ENT.
SW.
DISIT.1I
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIFT
CHECK
L
..
Permit No ..X./
New Building Remodeling Addition
Amount of Permit $....
STATE OF FLORIDA, t
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
es.
"id ZM No 73
11 .l� 7
Block
(Signed)
Date
Street..
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, Fiu: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. ..... / .SC�/r!
Employing Electriciati'e Name 4yZet
Location and Legal Description Lot
Street and Number where work is to be performed —No
No / / 'tl Street WE; / D / ST.
Street
Subdivision
/o /Si
State work to be performed and purpose of building (By Floors)
Repairs No. of Stories /
Service Overhead Siae Feeders Conduit Main Sw Amps .Main Fuses Amps
Underground
Type of Installation— fonduit Tubing B.X.L .Metal Moulding
6 / . T/ /V q 'ee4 () E .. / ...... — PL net , rsE 44/.62 • h7 / TE F
33 . / ®p
4 . ..�
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 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 s• tion on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such sub- .ntractor. on work be performed under this permit, as are
licensed by Miami Shores Village.
Muter Electrician.
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.
BUILDING
ELECTRICAL
PLUMBING
Owner of ? �r
Building
Architect
Lot
Contractor r
or Builder ./ / j " f ( '
Legal
Description
Address of ,�+ • '
Building f e '
MIAMI SHORES VILLAGE, FLORIDA
DATE
PERMIT N° 9822
Work to be performed under this Permit
Bl.
.,/
Subdi-
vision
Value of
Project $
CONTRACTOR OR BUILDER BY
Contractor's 7
License No
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 responsibility for a thorough knowledge of the ordinances and regulations
pertaining to the work covered hereby whether shown on the plans or drawings or i the statements qs specifications and that he assumes responsibility for work
done by his agents, servants or employees. ?
s ' J
Signed: ,r; i f BY , -� f
/ INSPECTOR
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all. d rd n ances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I ass e responsibility for all work done by either, myself, my agent, servant or employee.
AUTHORITY _,
Permit No
STATE OF FLORIDA, l
�OUNTY OF DADE. I
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 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 .1,4
Registered Architect and /or Engineer
Employing Electrician's Name ..._ . • No .. St
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
85.
MIAMI SHORES VILLAGE
Al
1 .
Street
Street . . % 's.r. ' id/
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.
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 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.
3
Master Electrician.
(Signed)
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
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
MO --'
- 3 - H
NEON
TRANS.
RADIO
TOTAL.
CONTR.
LIST
/
CHECK
Permit No
STATE OF FLORIDA, l
�OUNTY OF DADE. I
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 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 .1,4
Registered Architect and /or Engineer
Employing Electrician's Name ..._ . • No .. St
Location and Legal Description Lot Block Subdivision
Street and Number where work is to be performed —No
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs No. of Stories
85.
MIAMI SHORES VILLAGE
Al
1 .
Street
Street . . % 's.r. ' id/
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.
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 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.
3
Master Electrician.
(Signed)
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.
ELECTRICAL INSPECTION DEPARTMENT
p APPLICATION FOR ELECTRICAL PERMIT
Permit No a °B 7
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. r ,
r - s , •
Owner's Name and Address_1- ,__ 1 _ ` _ _ _ L z _ _ __ (..;l4 ________._____ No. ___Street_
Registered Architect and /or Engineer -
Employing Electrician's Name_-_-- -- --- 11? -,�� _ —� . Street_---------__ _______ --
Location and Legal Description Lot__ //
Street and Number where work is to be performed— No.___ 1,l__/ Street_
State work to be performed and purpose of building (By Floors)
New Building_ / — Remodeling_______________ Addition Repairs No. of Stories
Overhead /�`
Service Size Feeders ,L Conduit L_ '°_ Main Sw._______________ ________Arnps.•__Main Fuses__ —
Un
Type of Installation — Conduit_ Tubing_____ B.X.L. __._ Metal Moulding_
------------ --------- ------- - - - - -- ------ ---- - - - - -- - --
_
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that 1%understands and accepts his 'gations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori.•ermanent 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 p osted 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
MIAMI SHORES VILLAGE
Block
(Signed) \'`C\
Date_
Subdivision
aster Electrician.
Amps
Before me, the undersigned authority, a notary public, duly a uthorized 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
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
��
TOTAL
CONTR.
LIST
�.'
%
/C �/
5
T
h -
/
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
I.5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
/,2r
CHECK
ELECTRICAL INSPECTION DEPARTMENT
p APPLICATION FOR ELECTRICAL PERMIT
Permit No a °B 7
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. r ,
r - s , •
Owner's Name and Address_1- ,__ 1 _ ` _ _ _ L z _ _ __ (..;l4 ________._____ No. ___Street_
Registered Architect and /or Engineer -
Employing Electrician's Name_-_-- -- --- 11? -,�� _ —� . Street_---------__ _______ --
Location and Legal Description Lot__ //
Street and Number where work is to be performed— No.___ 1,l__/ Street_
State work to be performed and purpose of building (By Floors)
New Building_ / — Remodeling_______________ Addition Repairs No. of Stories
Overhead /�`
Service Size Feeders ,L Conduit L_ '°_ Main Sw._______________ ________Arnps.•__Main Fuses__ —
Un
Type of Installation — Conduit_ Tubing_____ B.X.L. __._ Metal Moulding_
------------ --------- ------- - - - - -- ------ ---- - - - - -- - --
_
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that 1%understands and accepts his 'gations as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Flori.•ermanent 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 p osted 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
STATE OF FLORIDA, 1
COUNTY OF DADE. I
ss.
MIAMI SHORES VILLAGE
Block
(Signed) \'`C\
Date_
Subdivision
aster Electrician.
Amps
Before me, the undersigned authority, a notary public, duly a uthorized 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 —L!
Owner's Name and
Registered Architect and /or Engineer
Employing Electrician's Name__
Location and Legal Description Lot
Amount of Permit $_
STATE OF FLORIDA, '
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
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.
Date
No Street
No. Street__
Block ,. Subdivision
Street and Number where work is to be performed— No.______,LL Street__
State work to be performed and purpose of building (By Floors)
New Building Remodeling__ Addition____ Repairs No. of Stories
Service Overhead Underground Size Feeders Conduit_____ ___Main Sw. _ Amps Main Fuses .Amps
Type of Installation — Conduit_ Tubing ________________ Metal Moulding
(Signed) 1 ".%_ s s ...A�'`,_,
Elec fakllaspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a th' 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 p osted 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 sub - contractors, on work to be performed under this „permit, as are
licensed by Miami Shores Village.
(Signed)
Master Electrician.
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
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LI ST
f
ei
CHECK
t : ^r
/
- "" "'� - •r••
s
wow 7a.4a+ • i+.....,.
. - , - ∎
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
y
MOTORS
0-1 HP
MOTORS
1 -5 HP
N EON
TRANS.
RADIO
TOTAL
CONTR.
LIST
•
CHECK
Permit No —L!
Owner's Name and
Registered Architect and /or Engineer
Employing Electrician's Name__
Location and Legal Description Lot
Amount of Permit $_
STATE OF FLORIDA, '
COUNTY OF DADE. I
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
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.
Date
No Street
No. Street__
Block ,. Subdivision
Street and Number where work is to be performed— No.______,LL Street__
State work to be performed and purpose of building (By Floors)
New Building Remodeling__ Addition____ Repairs No. of Stories
Service Overhead Underground Size Feeders Conduit_____ ___Main Sw. _ Amps Main Fuses .Amps
Type of Installation — Conduit_ Tubing ________________ Metal Moulding
(Signed) 1 ".%_ s s ...A�'`,_,
Elec fakllaspector.
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a th' 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 p osted 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 sub - contractors, on work to be performed under this „permit, as are
licensed by Miami Shores Village.
(Signed)
Master Electrician.
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.
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building ±.
L
f1 A a 4
Yr
Lot
• - ''CONTRAC lXiIr OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT ■2 8114
Work to be performed under this Permit
Architect
Contractor
or Builder
Legal
Description
Address of S 1
Building/ ( �� : 1
f
Bl.
Subdi-
vision
Value of
Project
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 appli-
cation herefor in strict compliance with all ordinances pertaining thereto and w th 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 state ents or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. -.
Signed. ° .., ! f —s r te B
BY
INSPECTOR
In consideration o the issuance to me of this permit I agree to perform the ork covered hereunder in compliance with all,
pertaining thereto and i • t conformity with the plans, drawings, statemerfis or specifications submitted to the proper authorities` of Mi
In accepting this perm assume, responsibility for all work done by either myself, my agent, servant or employee.
DATE t �..,� . <. 194
ContracYor"'s
License No.
Amt. of
Permit
AUTHORITY
�sandrq
mi ShorB'S