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ELECTRICALMIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT %? Permit No La 4' Z--- Date / c ' 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 i " � IC Eel4Q P No / 0 Street Registered Architect and /or Engineer Employing / to in Electrician's Name I 1 it 1 0 d'� fc- ( - K � °h k-� _, : : - P Y [; ' � 1' No ..K Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 n Amount of Permit $ 88. (Signed) (Signed) Street.... r!) State work to be performed and purpose of building (By Floors) New Building Remodeling Addition — Repairs No. of Stories �� n 6 0 Service Overhead nd Size Feeders. P � Condui " Main Sw — �° Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing ✓ B.X.L Metal Moulding v4, de;.,_c ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of 'da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or su 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 the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on wort to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, 1 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. 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 REPRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. ACE H ATER STRIP HEATER TOTAL CONTR. LIST gr., b 7 4 CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.E HP NEON TRANS. RADIO TOTAL CONTR. LIST , 1 I ...' `� Q C. v` -- CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT %? Permit No La 4' Z--- Date / c ' 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 i " � IC Eel4Q P No / 0 Street Registered Architect and /or Engineer Employing / to in Electrician's Name I 1 it 1 0 d'� fc- ( - K � °h k-� _, : : - P Y [; ' � 1' No ..K Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No 1 n Amount of Permit $ 88. (Signed) (Signed) Street.... r!) State work to be performed and purpose of building (By Floors) New Building Remodeling Addition — Repairs No. of Stories �� n 6 0 Service Overhead nd Size Feeders. P � Condui " Main Sw — �° Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing ✓ B.X.L Metal Moulding v4, de;.,_c ectrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of 'da Permanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or su 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 the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on wort to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, 1 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. 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 PERMIT N9 PLUMBING ❑ N. 9 6 4 2 ROOFING ❑ Owner of Building MIAMI SHORES VILLAGE. FLORIDA Architect Contractor or Builder F i t. Legal Lot II Bl. Description. Address of Building CONTRACTOR OR BUILDER Work to be performed under this Permit -fi Subdi- vision DATE ! ti. Contractor's License No Sq. Ft Value of Project $ 3 . Amt. of Permit $ �. t r #r BY AUTHORITY /- 195 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 in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed: BY INSPECTQR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances 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 assume responsibility for all work done by either, myself, my agent, servant or employee. BUILDING ELECTRICAL PLUMBING Owner of Building / MIAMI SHORES VILLAGE, FLORIDA PERMIT N? 6411 Work to be performed under this Permit Architect Contractor or Builder Legal Lot Description Address of Building This .ermit is granted to the contractor or builder named above to construct the building or to install the equipment or d ice described in the appli- cation 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 a thorough knowledge of the &din ces and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the state nts or specifications and that Ire asse s respon- sibility for work done by his agents, servants or employees. a' Signed. p` d �� ://‘7 1 r - B „. � -_ IPSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with_all ordinances and rations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper Nuthorities of Miami S Village. In acceptipg this permit I assume responsibility for all work done by either myself, my agent, servant or employee. Bl. Subdi- vision Value of Project / — Y I f CONTRACTOR OR BUILDER ( `� + � ` BY DATE 194 Contractor's License No. Amt. of Permit >r AUTHORITY BUILDING ELECTRICAL PLUABING Owner of Building P' PERMIT N° 6489 Architect Contractor - or Builder' L . . Legal Lot Description Address of .;� Value of Amt. of ,` Building Project 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 appli- cation 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 in tl staters n or specifications and at.he assumes respon- sibility for work done by his agents, servants or employees. - /. �" f �f��? ,,/,..„.# Signed• . /, (1 1 rr SPE o .I /l` } Y.: � By 1 In consideration of the issuance to me of this permit I agree to perfor m the work covered hereunder in compliance with all ordinances and regulations au pert ining thereto and in strict conformity with the glans, drawings, state ents or specifications submitted to the proper tlzgrities of Miami o illix g e. In a cepting this permit I mime responsibility for all work done by eite myself, my agent, servant or employee. MIAMI SHORES VILLAGE, FLORIDA DATE 19 Contractor's License NV: Work to be performed under this Permit ' / // /1 Bl. Subdi- vision BY AUTHORITY 1 • 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. Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PPLICATION FOR ELECTRICAL PERMIT ,c-L7 Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name ;cy Location and Legal Description Lot 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 ___..___w_ No Service Overhead Size Feeders__ Conduit____. __ . Main Sw. Underground Type of Installation— Conduit_____________ Tubing _ B.X.L. Metal Moul (Signed) No A__- . Street__ Amps. The undersigned applicant for this building permit does hereby certify that he unders . ds 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 Supple •nen.. and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by h'm in 'he 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 notif;,i4 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. STATE OF FLORIDA, COUNTY OF DADE. u' Before me, the undersigned authority. a notary public, duly authorized to administer Date --- - - ---- Street. Street - - - - - Repairs No. of Stories oaths and take Notary Public. State of Florida Main Fuses__-_______________Amps. r ial Inspector. Master Electrican. acknowledgments, personally 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 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 MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST / CHECK 1 • 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. Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PPLICATION FOR ELECTRICAL PERMIT ,c-L7 Owner's Name and Address Registered Architect and /or Engineer Employing Electrician's Name ;cy Location and Legal Description Lot 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 ___..___w_ No Service Overhead Size Feeders__ Conduit____. __ . Main Sw. Underground Type of Installation— Conduit_____________ Tubing _ B.X.L. Metal Moul (Signed) No A__- . Street__ Amps. The undersigned applicant for this building permit does hereby certify that he unders . ds 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 Supple •nen.. and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by h'm in 'he 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 notif;,i4 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. STATE OF FLORIDA, COUNTY OF DADE. u' Before me, the undersigned authority. a notary public, duly authorized to administer Date --- - - ---- Street. Street - - - - - Repairs No. of Stories oaths and take Notary Public. State of Florida Main Fuses__-_______________Amps. r ial Inspector. Master Electrican. acknowledgments, personally 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. NO. Motors STREET Generators PART OF LOT LOT BL'K Billboards SUBDIVISION /J2 >/: /6'; '' 19/; ' ' Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee +ft. '�. t Owner of Building Contractor or Electrician ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. f fl aiarni Azores9 llage F L O R ID A OFFICE OF ELECTRICAL DEPAR�NT M i am Shores Village, Fla., 19 DESCRIPTION OF WORK NUMBER OF LO CATI 0 N N° 394 This Permit is granted upon the express condition that all facts stated in the Application are true and that the construction complies strictly with 3lans and specifications submitted and are in accordance with the Electrical Laws of the State of Florida and with the Electrical Ordinances and Code liami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by Department. , ,= ,f ;'' / ' , 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 g g f Y g P P ty pplication and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the )f Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Village. t •,, .�► Dated � '' �) � { , 19 NO. ye /df STREET -it PART OF LOT ie.- 4-.43 LOT Pt BL'K /r )vz..40-,,,,/ SUBDIVISION ,,, _i,.04,6.,. 4 /orz Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee 4 1 / ;-.. , , ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Contractor or Electricia aiami cShores llage F L 0 R D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , IF 19 LO CATI O N DESCRIPTION OF WORK NUMBER OF 372 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 of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. r _,f . ( i (. / : , 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 the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules And r lations of the Electrical Department of Miami Shores Village. Dated L- 19 L. `~ (Seal) NO. STREET ,/, J/2 , 4 ' PART OF LOT LOT BL'K SUBDIVISION >7/14 /12 Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee 4 . al t..c , /'t e' ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Ans Owner of Building Cooactor or Electricia ddl' iami cShores9 llage F L O R 1 D A OFFICE OF ELECTRICAL DEPARTM NT r i C� � 'M iami Shores Village, Fla , C 19 LOCATION DESCRIPTION OF WORK NUMBER OF N° 394 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 of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change, in the plans and specfcations unauthorized by this 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 the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rules and regulations of the Electrical Department of Miami Shores Village. Dated , 19 434- C 6 ! t,t, Seal _NO. Motors Receptacles STREET PART OF LOT LOT BL'K Billboards Other Apparatus SUBDIVISION /dot F P Et-/Z / /y ;. / 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 0 ,7 , - , .y; Contractor or Elect rclan ' '�' c dd Liami chores Nllage F L 0 R 1 D A OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , j":;44 190 LO CATION DESCRIPTION OF WORK NUMBER OF S < N° _ 372 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 of Miami Shores Village and the rules and regulations of the Electrical Department of Miami Shores Village. This Permit may be revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or upon any change in the plans and specifications unauthorized by this Department. � i /� _ i ''� �� ,Electrical Inspector. In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed const�r tion in strict conformity with the Application and the plans and specifications thereof heretofore by me submitted, and in compliance with all provisions of all Electrical Laws of the State of Florida, all the Electrical Ordinances and Codes of Miami Shores Village, and all rues d re ate ons of hetlectrical Department of Miami Shores Village. ` Dated _ � ,�;7 , 19 (Seal) MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring apparatus MAR MAR L � I g and / � pparatus installed at t �^ ? by e a ' / / tie e ee . Address for Pa Pr owner, and occupied as PERMIT has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service .‘1* e' ;' Number of Lighting Circuits " Range d� .'`1,,,,i= watts. Water Heater Xi. watts I Power: Connected Toad_ X • H. P. Space Heaters X watts ■ Other Apparatus ELECTRICAL INSPECTOR. Power: Connected load Other Apparatus ■1A \ MI SHORES VILLAGE Office of Electrical\Inspector CERTIFICATE OF III PECTION THIS CERTIFIES THAT the wiring and apparatus installed at' � ' f /D2 / r by Gas c.' F{ F/ C.1 C t . Address for A J"'ef'+ owner, and occupied as to" •K has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service 66 Am? Number of Lighting Circuits f Range /V/ / Cc flflt C watts. Water Heater X watts fX H P. Space Heaters X PERMIT No. 7 E L E R1CAL INSPECTOR. watts CEILING BRACKETS RECPTACLE• SWITCHES STOVES WATER HEATERS SIGN• OTHER • BRACK 8 MAIN SUBS BRANCHES BASEMENT_ LIGHTS • FLOORS FIXTURES ONLY NUMBERS OF TOTAL OUTLET$ SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS CEILING BRACK 8 MAIN SUBS BRANCHES BASEMENT_ LIGHTS • FIRST SECOND - _ THIRD 7 OURTH A -SS ELECTRICAL DIVISION 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 below, for which undersigned agrees to correct any infractions of the National Electric Code and the City Ordinance pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED LOT NUMBER BLOCK NUMBER STREET AND NUMBER OWNER BUILDING - -NEW OR OLD (UNDERLINE WHICH) REMARKS CONTRACTOR BY RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No CORRECTED - TEMPORARY DAYS. DATE ISSUED APPLICATION SUBDIVISION No DATE _+ t k 4 L ,� O CCUPANT OCCUPIED As - r WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR SPECIFICATIONS H. P. OF EACH MOTON VOLTS TOTAL AMPS KIND OF INSTALLATION OPEN OR CONCEALED KNOB, RX.. BX.. MLDG., CONDUIT, METALLIC TUBING INSPECTION WANTED SPACE BELOW FOR INSPECTOR'S USE ONLY REMARKS FEE REMITTED ADDRESS INSPECTED /' /// ,' `; // PHASF 4 INSPECTOR CEILING BRACKETS RECPTACLE• SWITCHES STOVES WATER HEATERS •IGN• OTHER • BRACKETS MAIN i e l BRANCHES IENT OORS FIXTURES ONLY NUMBERS OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUBS BRANCHES IENT JD I I'M A. SS LOT NUMBER 'y 111_±1.3_ BUILDING- -NEW OR OLD (UNDERLINE WHICH) FL BASE FIRST SECO THIR FOUR CONTRACTOIY I 3 � BY PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No. CORRECTED_ TEMPORARY DAYS. DATE ISSUED BLOCK NUMBER RECEIVED BY INSPECTOR REMARKS FEE REMITTED APPLICATION ELECTRICAL DIVISION 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 below, for which undersigned agrees to correct any infractions of the National Electric Code and the City Ordinance pointed out by Inspector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED SUBDIVISION 9 REEc L AND N / t ° JMBER • ' ° , I� v t 4 I Q SIDE OWNER +.� S OCCUPANT OCCUPIED As WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR SPECIFICATIONS H. P. OF EACH MOTON VOLTS TOTAL AMPS PHASE KIND OF INSTALLATION {d OPEN OR CONCEALED KNOB, RX.. BX., MLDG.. CONDUIT, METALLIC TUBING REMARKS � i INSPECTION WANTED 4 1 t SPACE B OW FOR INSPECTOR'S USE ONLY INSPECTED l j � a NO /i A , A � 193 DATF INSPECTOR