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118 NE 102 St (13)Permit No 1 `. ( s f ' New Building Amount of Permit $ 4.00 STATE OF FLORIDA, I l COUNTY OP DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (Signed) (Signed) Date 7 — '2,-( - 73 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fi.:1da, 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 B . B NTON N 118 Street N.E. 102nd Registered Architect and /or Engineer Employing Electrician's Name No L & M CTRIC CO.INC. 99 StreetN• \V• 166th St• Location and Legal Description Lot Block Subdivision. Street and Number where work is to be performed —No Street State work to be p rforr1.ed and purpose of building (By Floors) 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 Elect cal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep 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. Master Electrician. ss. 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. Notary Public, State of Florida My Commission Expires 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 LION OUTLET. PLUG RECE'P'T'8 FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER H W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST CHECK • ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.8 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No 1 `. ( s f ' New Building Amount of Permit $ 4.00 STATE OF FLORIDA, I l COUNTY OP DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT (Signed) (Signed) Date 7 — '2,-( - 73 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building o: other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fi.:1da, 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 B . B NTON N 118 Street N.E. 102nd Registered Architect and /or Engineer Employing Electrician's Name No L & M CTRIC CO.INC. 99 StreetN• \V• 166th St• Location and Legal Description Lot Block Subdivision. Street and Number where work is to be performed —No Street State work to be p rforr1.ed and purpose of building (By Floors) 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 Elect cal Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accep 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. Master Electrician. ss. 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. Notary Public, State of Florida My Commission Expires 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 ROOFING Owner of . Building /'.. Architect Contractor or Builder Legal Lot Description Address of Building MIAMI SHORES VILLAGE. FLORIDA DATE PERMIT N° _ 3536 0 CONTRACTOR OR BUILDER Work to be performed under this Permit B1 t Value of Project $ Contractor's License No 195 Subdi- vision Amount 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 in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. Signed. BY INSPECTOR 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY e,, MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit. No 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.. I� R f, T /✓ - Do s2 E �/ No t 1. i� Street /Y CO S1 S ' Registered Architect and /or Engineer � Employing Electrician's Name... tZ $/ n G- Ele.9!. LAJJ. t21.C. K .. G..,.... i q 9 Street.... 4 6.A C A( e4 V Location and Legal Description Lot Block Street and Number where work is to be performed —No /..l Street.... /. :..,(O Q 7 57' State work to be performed and purpose of building (By Floors) RES I D L NC,c Service Overhead Size Feeders -UUnderground My Commission Expires (Signed). Subdivision New Building Remodeling Addition Repairs No. of Stories Conduit Main Sw Amps... Main Fuses Amps 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. 55. 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. 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 HEATER W. HEAT. CONN. ACE H A TER STRIP HEATER TOTAL CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS NEON 1.5 HP TRANS. RADIO TOTAL CONTR. LIST ..7 //,b .7'% R' Ury Jr,� CHECK MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit. No 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.. I� R f, T /✓ - Do s2 E �/ No t 1. i� Street /Y CO S1 S ' Registered Architect and /or Engineer � Employing Electrician's Name... tZ $/ n G- Ele.9!. LAJJ. t21.C. K .. G..,.... i q 9 Street.... 4 6.A C A( e4 V Location and Legal Description Lot Block Street and Number where work is to be performed —No /..l Street.... /. :..,(O Q 7 57' State work to be performed and purpose of building (By Floors) RES I D L NC,c Service Overhead Size Feeders -UUnderground My Commission Expires (Signed). Subdivision New Building Remodeling Addition Repairs No. of Stories Conduit Main Sw Amps... Main Fuses Amps 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 sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. 55. 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. 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 1 CHECK - ENT. SW. DIST. CAS. SERVICE TEMP. SERVICE PERM. M, -( � vuu+a Maher _-1 -Dryer MOTORS 0.1 HP MOTORS 1•3 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK 1 Permit No 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. Owner's Name and Address Carlton Dooley No Registered Architect and /or Engineer Employing Electrician's Name Lewis C. Wagner Location and Legal Description Lot Street and Number where work is to be performed —No State work to be performed and pur•ose of buildin New Building ...Remodelin Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B.X.L Metal Moulding Amount of Permit $ MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date..De0 • 8" 1955 65. Block Subdivision 116 Street I...7 I 10$" Floors) 118 Vr3 Street B 102" Miami Shores N 9930 Street Central Blvd. , 11 (Signed) il Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his .bligations 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. (Signed) STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths , C x C aster Electrician. 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 ROOFING Architect Contractor or Builder Legal Description Address of Building Lot MIAMI SHORES VILLAGE, FLORIDA 0 PERMIT N? 2889 .❑ Owner of Building .. CONTRACTOR OR BUILDER l DATE 195 Contractor's License No Work to be performed under this Permit B1 Subdi- vision Value of Project $ Signed. Amount of Permit $ eY, V " This permit is granted to the contractor or builder named above to construc 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. INSPECTOR 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 ac- cepting this permit I assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY eALSI6': Permit No.../ 4 'J 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....P Registered Architect and /or Engi Employing Electrician's Name Location and Legal Description Lot Ckit:# rs.. 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.. Service Overhead Site Feeders Type of Insta lation— Conduit (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 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 to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit $ STATE OF FLORIDA, COUNTY OP DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 69. eer wry Block Subdivision Street ff Conduit../. Main Sw.._ lr' ' Amps Main Fuses Amps Tubing X.L Metal Moulding p 4y {4F• j �✓ (Signed).... / r K No.. . /..0 - .. .......j3: ,SStreet Repairs No. of Stories I Date ' - f t 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 REFRIO. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL CONTR. LIST 1 CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0-1 HP MOTORS 1.3 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No.../ 4 'J 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....P Registered Architect and /or Engi Employing Electrician's Name Location and Legal Description Lot Ckit:# rs.. 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.. Service Overhead Site Feeders Type of Insta lation— Conduit (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 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 to be performed under this permit, as are licensed by Miami Shores Village. Amount of Permit $ STATE OF FLORIDA, COUNTY OP DADE. MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT 69. eer wry Block Subdivision Street ff Conduit../. Main Sw.._ lr' ' Amps Main Fuses Amps Tubing X.L Metal Moulding p 4y {4F• j �✓ (Signed).... / r K No.. . /..0 - .. .......j3: ,SStreet Repairs No. of Stories I Date ' - f t 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 RO Owner , Building 1" * Architect Contractor or Builder Legal Description Address of Building Lot ❑ DATE r (1;60 PERMIT N? 11444 Contractor's License No ❑ ❑ Work to be performed under this Permit in. MIAMI SH RES VILLAGE, FLORIDA Signed: 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 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 l?uilkr t awed above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown oil the plans or drawin the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. . =. , utrsrs BY In consideration of the issuance to me of this permit I agree to perform the work ered hereunder in compliance with all 'orb nances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or spe ' ations submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either, myself .y agent, servant or employee. Amt. of Permit $ , AUTHORITY 195 / w Permit No.__ 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 y Registered Architect and /or Engineer Employing Electrician's Name _ ° ' No _ Street.. 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.. Repairs —___ No. of Stories Service Overhead Size Feeders____ Conduit.__— Main Sw. Underground Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. sa. My Commission Expires MIAMI SHORES VILLAGE No. _I (Signed) Type of Installation— Conduit______________ Tubing B.X.L Metal M•ulding Street__ 4 Subdivision_ ____ __.__... Street Amps. Main Fuses_______ Amps. 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. to administer Notary Public. State of Florida (Signed) ' 2/Y, #;;Y' Master, E ctrican. Before me, the undersigned authority, a notary public, duly authorized 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, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. oaths and take acknowledgments, personally 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. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No.__ 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 y Registered Architect and /or Engineer Employing Electrician's Name _ ° ' No _ Street.. 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.. Repairs —___ No. of Stories Service Overhead Size Feeders____ Conduit.__— Main Sw. Underground Amount of Permit $ STATE OF FLORIDA, COUNTY OF DADE. sa. My Commission Expires MIAMI SHORES VILLAGE No. _I (Signed) Type of Installation— Conduit______________ Tubing B.X.L Metal M•ulding Street__ 4 Subdivision_ ____ __.__... Street Amps. Main Fuses_______ Amps. 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. to administer Notary Public. State of Florida (Signed) ' 2/Y, #;;Y' Master, E ctrican. Before me, the undersigned authority, a notary public, duly authorized 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, that be has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. oaths and take acknowledgments, personally 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 Architect Contractor or Builder Legal Description Lot Address of s ,+ Building � �` `1" /`' = te a .r� —;) P In consideration of pertaining thereto and in In accepting this permit x' f r n MIAMI SHORES VILLAGE, FLORIDA ERMIT N? 6841 Work to be performed under this Permit OR BUILDER Bl. Subdi- vision Value of Project BY DATE • w 194 Contractor's 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 de4ice descri d 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 statements or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. By INSPECTOR the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regulations strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. ass a respfnsibil}ty for all work done by either myself, my agent, servant or employee. tpt! t AUTHORITY 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 6 �g °, . s 4� A r�r A C No.____ //_� Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot q 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 Service Overhead Size Feeders Conduit.__ Main Sw.________ — Amps. Main Fuses __Amps. Underground P p Type of Installation—Conduit _______ ________ Tubing___ B.X.L. Metal Moulding Amount of Permit Sl The under the plied with the provisions thereof, performed under this permit; and required by the Act. The under licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PLICATION FOR ELECTRICAL PERMIT Date_L l<,?, L L N,_ _ My Commission Expires / A Block Subdivision__ Street_ �_ f I No.___ er Street __g__ (Signed) '''' -c...-.6.--.--4 , ;Electrical Inspector. undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga ons as an employer of labor Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- and will require similar compliance from all contractors or sub - contractors employed by him in the work to be will post or cause to be posted for inspection on the site of the work such public notice or notices as signed agrees to employ only such sub - contractors, on work to be performed under this permit, as Notary Public. State of Florida // No. of Stories.. _— 1 Master Electrican. are are 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, 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 / WO' CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -3 HP NEON 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 6 �g °, . s 4� A r�r A C No.____ //_� Registered Architect and /or Engineer Employing Electrician's Name Location and Legal Description Lot q 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 Service Overhead Size Feeders Conduit.__ Main Sw.________ — Amps. Main Fuses __Amps. Underground P p Type of Installation—Conduit _______ ________ Tubing___ B.X.L. Metal Moulding Amount of Permit Sl The under the plied with the provisions thereof, performed under this permit; and required by the Act. The under licensed by Miami Shores Village. STATE OF FLORIDA, COUNTY OF DADE. ss' MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT PLICATION FOR ELECTRICAL PERMIT Date_L l<,?, L L N,_ _ My Commission Expires / A Block Subdivision__ Street_ �_ f I No.___ er Street __g__ (Signed) '''' -c...-.6.--.--4 , ;Electrical Inspector. undersigned applicant for this building permit does hereby certify that he understands and accepts his obliga ons as an employer of labor Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- and will require similar compliance from all contractors or sub - contractors employed by him in the work to be will post or cause to be posted for inspection on the site of the work such public notice or notices as signed agrees to employ only such sub - contractors, on work to be performed under this permit, as Notary Public. State of Florida // No. of Stories.. _— 1 Master Electrican. are are 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, 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. • 4 JOB: AD: BUILDING PLUMBING • • • ELECTRICAL : • • • • The following is ready for Inspection: Inspector's Report: Ole ID • • • • • WORK • ▪ DONE BY: • eit," : REQUESTED WILL BE READY • a4,,- • • • I . ( /4'---/7/ • BUILDING ELECTRICAL PLUMBING 1 • • • • • • • • • • • • The following is ready for Inspection: Inspectors Report: • • • • • : WORK : DONE BY: : REUESTED AD: ,� �U, kt' l 0 . WILL BE READY • • • • • • • • 3i°J is /) • • • APPLICATION FOR ELECTRICAL PERMIT Permit No• ____ 46i 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 works � G Owner's Name and Address / _(_ 0 0- (' i /, • Registered Architect and /or Engine j MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No -+ No. Street---- - Location and Legal Description Lot_ ___�__�' ___ �,. 1 _Bloc _ Subdivisioay________�___— Street and Number where work is to be performed —No. y f__L ° Street C State work to be performed and purpose of building (By Floors) New Building_ Remodeling Addition Repairs No. of Stories Electrician's Name __1! (;. ✓ T 1 " Service Overhead Amount of Permit (Signed) Street Underground Size Feeders______` Conduit_ __. Main Sw Amps. Main Fuses try" s.2 Amps. 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 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. (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss. 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, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Electrican. 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 �� D /6. Q / / / CHECK ENT. SW. DIST. CAD. SERVICE TEMP. SERVICE PERM. MOTORS O -I HP MOTORS 1 -5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK APPLICATION FOR ELECTRICAL PERMIT Permit No• ____ 46i 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 works � G Owner's Name and Address / _(_ 0 0- (' i /, • Registered Architect and /or Engine j MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT No -+ No. Street---- - Location and Legal Description Lot_ ___�__�' ___ �,. 1 _Bloc _ Subdivisioay________�___— Street and Number where work is to be performed —No. y f__L ° Street C State work to be performed and purpose of building (By Floors) New Building_ Remodeling Addition Repairs No. of Stories Electrician's Name __1! (;. ✓ T 1 " Service Overhead Amount of Permit (Signed) Street Underground Size Feeders______` Conduit_ __. Main Sw Amps. Main Fuses try" s.2 Amps. 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 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. (Signed) STATE OF FLORIDA, COUNTY OF DADE. j ss. 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, that he has carefully read the foregoing application, and that be did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida Master Electrican. 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 Architect Contractor; '- Legal Lot Description Address of Building .' Work to be performed under this Permit ' MIAMI SHORES VILLAGE, FLORIDA DATE °` fi t' 194/ PERMIT N9 1981 contractor's License No. BI. Subdi- vision Value of Project 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 plane, 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 at;d that he assumes responsibility for work done by his agents, servants or employees. ,r Signed• By INSPECTOR In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in compliance with all ordinances and regula- tions pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Vijlage. In acceptit g this permit ',assume responsibility for all k do by ei r. myself, my agent, servant or employee. CONTRACTOR OR BUILDER BY AUTHOR ..� f s MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES THAT the wiring and apparatus installed at by % Address for owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service Number of Lighting Circuits Range watts. Water Heater watts Power: Connected load /H. P. Space Heaters �R watts Other Apparatus 1 PERMIT 1 No. ELECTRICAL INSPECTOR. NO. Motors STREE' PART OF LOT LOT BL'K Signs SUBDIVISIc o 1/ /4 , 0 (44/ - // 7 a + Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee a 46. 1 • D ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. } 0 1 Cieractor or Electrician Owner of Buildin Dated • • te 1 Miami Shores Villa I In consideration of the issuance to me of the foregoing Electrical the Application and the plans and specifications thereof heretofore by me State of Florida, all the Electrical Ordinances and Codes of Miami Shores Shores Village. dd Iiami cJhores F L 0 11 1 D A OFFI6E OF ELECTRICAL DEPARTMENT if r. a, CATI 0 N DESCRIPTION OF WORK NUMBER OF r 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 bg revoked at any time upon the violation of any provisions of said laws, ordinances, or rules and regulations, or u a c�i•a�ige in e plans-and specifi tions unauthorized by thi Department.�� • 'l ,19 1.'i �,' �'r,► /e'' 4 Permit, I hereby agree to do the proposed ct5nstruction in strict conformity with submitted, and in compliance with all provisions of all Electrical Laws of the Village, and all rules and regulations of the Electrical Department of Miami 0 -7trttectdt-pA... 4 N9 729 t , Electrical Inspector. (Seal) NO. STREET PART OF LOT LOT BL'K I/ ,0 SUBDIVISION lie, 4 ?' Other Apparatus ./47,Z -/ lf i Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee / 4 I II ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. • r Owner of Building Cwactor or Electrician; 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, pon a ,change ' the plans and spe ations unauthorized by ` , Electrical Inspector. tlepartment. Shores Village. rr Dated ,,r " , 1 '„ Miami chores9 llage F L O A t D A FFICE OF ELECTRICAL DEPARTMENT iami Shores Village, Fla , DESCRIPTION OF WORK NUMBER OF LO CATI 0 N 00' 19t= 9 N° 783 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 (Seal) .00RS PIATUKEb ONLY NUMBER OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUBS BRANCHES ENT V..... �' y ! 1 _. , _.. 0 H A -69 LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE LED OR APPLICATION �� WILL BE RETURNED. -n LOT NUMBER /0 j 0 , j BLOCK NUMBER b SuSDIVISION yY� STREET AND NUMBER 1 L 3 OWNER (' r OCCUPIED As ~' BUILDING - -NEW OR OLD (UNDERLINE WHICH) WORK -- ADDITIONAL, NEW. ALTERATION OR REPAIR H. P. OF EACH MOTOR CEILING F BABEM FIRST SECON THIRD FOURT REMARKS BRACKETS 4 - KIND OF INSTALLATION a,> 1, • MASTER ELECTRICIAN : -� F � ► , .'4- >��.J� INSPECTION WANTED � BY ADDRESS : Ii I - RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN RECEPTACLES ROUGH WIRING FINAL No. CORRECTED TEMPORARY DAYS. DATE ISSUED SWITCHES OPEN OR CONCEALED REMARKS APPLICATION 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 below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by In- spector. SPECIFICATIONS VOLTS a p r. SPACE BELOW FOR INSPECTOR'S USE ONLY STOVES I, WATER HEATERS 7. INSPECTED J 9 SIDF r,9 DATE OCCUPANT TOTAL AMPS PHASE SIGNS KNOB. RX.. BX.. MLDG.. CONDUIT. METALLIC TUBING z^ • ' Q OTHER APPARATUS 7 FEE REMITTED INSPECTOR MIAMI SHORES VILLAGE Office of Electrical Inspector CERTIFICATE OF INSPECTION ! 7'_e PERMIT No. '' k r r' THIS CERTIFIES THAT t wiring old apparatus installed at 1 GG /. by t 1 / ' ft'4(./' , ��..�' �-? Address for 4444 f4 < t►-*1 owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Size of Service '�'' ' 4' "r+'� Number of Lighting Circuits Range 6.:r'. ! e` " 4 ; 00 " watts. Water Heater ' watts Power: Connected load •' Other Apparatus /0 /7" H. P. Space Heaters X watts ELECTRICAL INSPECTOR. FLOORS F IATUNES vnLT NUMBER OF TOTAL. OUTLETS SIZE OF •IZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUBS BRANCHES BASEMENT - FIRST 1 Vi z. SECOND THIRD FOURTH .. �, - A -69 r • r APPLICATION 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 below, for which undersigned agrees to correct any infractions of the National Electrical Code and the City Ordinance pointed out by In- spector. LOCATION AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILL WILL BE RETURNED. LOT NU CEILING REMARKS STREET AND NUMBER o OWNER OCCUPIED AS BUILDING- -NEW OR OLD (UNDERLINE WHICH) BRACKETS KIND OF INSTALLATION RECEPTACLES • BLOCK NUMBER / 7 S UBDIVISION t q : 2 Zs' 1 1 ' ( SWITCHES OPEN OR CONCEALED TEMPORARY DAYS. FEE REMITTED DATE ISSUED STOVES OCCUPANT H. P. OF EACH MOTOR VOLTS TOTAL AMPS PHASF WATER HEATERS SID SIGNS SPACE BELOW FOR INSPECTOR'S USE ONLY WORK -- ADDITIONAL, NEW. ALTERATION OR REPAIR SPECIFICATIONS DR APPLICATION OTHER APPARATUS KNOB. RX., BX., MLDG., CONDUIT, METALLIC TUBING MASTER ELECTRICIAN } INSPECTION WANTED / r BY ADDRESS r RECEIVED BY INSPECTOR INSPECTED PROGRESS REMARKS ( , , C /.. ,_ ,q_ , e , <`. 9 - WILL INSPECT AGAIN - r' r � �� ' ROUGH WIRING 09 i '?; ''3 ! i t ( ', k FINAL No CORRECTED INSPECTOR