Loading...
356 NE 102 St (3)MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 13 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 '�` 62,4144.a No ‘ ‘ 7 1/gStreet R Architect and/or R.. �f oa! ®® / II� // . -, Employing Electrician's Na ii..,,e � mot/ No G� 0 Street.. ,..:.4.44. i /r '� 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 Repairs No. of Stories Service O underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B .L Metal Moulding STATE OF FLORIDA, 1 COUNTY OF DADE. !T My'Commission Expires (Sign Before me, the undersignet at orgy, a notary public, duly authorized to appeared Date Street administer . oaths and take 41 cq 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 contract • . . subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspe ton o e s' e of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub •contracto . to be performed under this permit, as are licensed by Miami Shores Village. 7� U.I l - I ? ; �- MasterbElectrician. acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A r nspection fee of $1.00 will be made when such re' inspection is made necessary by improper notice for inspection, or faulty materials and /o workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIO. OUTLET IRON OUTLET RANGE OUTLET R ANGE CONN. WATER HEATER W. H EAT. CONN. SPACE HEATER STRIP HEATER TOTAL LIST • CHECK �q� : S .7 �• ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.3 HP N EON TRANS. RADIO TOTAL CONTR. LIST CHECK / Ov MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Permit No 13 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 '�` 62,4144.a No ‘ ‘ 7 1/gStreet R Architect and/or R.. �f oa! ®® / II� // . -, Employing Electrician's Na ii..,,e � mot/ No G� 0 Street.. ,..:.4.44. i /r '� 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 Repairs No. of Stories Service O underground Size Feeders Conduit Main Sw Amps Main Fuses Amps Type of Installation— Conduit Tubing B .L Metal Moulding STATE OF FLORIDA, 1 COUNTY OF DADE. !T My'Commission Expires (Sign Before me, the undersignet at orgy, a notary public, duly authorized to appeared Date Street administer . oaths and take 41 cq 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 contract • . . subcontractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspe ton o e s' e of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub •contracto . to be performed under this permit, as are licensed by Miami Shores Village. 7� U.I l - I ? ; �- MasterbElectrician. acknowledgments, personally to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A r nspection fee of $1.00 will be made when such re' inspection is made necessary by improper notice for inspection, or faulty materials and /o workmanship. Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made f r 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 G No Street /0 2 s: r C,,i, A /OKs w G ' s ■._• N Registered Architect and /or Engineer Employing Electrician's Name /VC V Location and Legal Description Lot Block 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 Site 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 quired by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are y Miami Shores Village. E OF FLORIDA, 1 O • NTY OF DADE. I ss. ,1 My Commission Expires •—• (Signed) Street if A 497;" 1 Subdivision Street A" / C Notary Public, State of Florida 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. 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. ri ry� /l` (� ( i U I 4// A/ g-- MOTORS 0.1 HP MOTORS 1•5 HP NEON TRANS. RADIO TOTAL CONTR. LIST .r:4 -4 6-c 0, -!f o a 7 6tfi `L M CHECK cA .V l i ,v % Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date Application is hereby made f r 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 G No Street /0 2 s: r C,,i, A /OKs w G ' s ■._• N Registered Architect and /or Engineer Employing Electrician's Name /VC V Location and Legal Description Lot Block 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 Site 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 quired by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this permit, as are y Miami Shores Village. E OF FLORIDA, 1 O • NTY OF DADE. I ss. ,1 My Commission Expires •—• (Signed) Street if A 497;" 1 Subdivision Street A" / C Notary Public, State of Florida 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. 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. ..:, MIAMI SHORES VILLAGE, FLORIDA V PERMIT N? 14169 ❑ Work to be performed under this Permit Architect Contractor ! t. or Builder ` Legal Lot II BI. Description, Address of Building e L. i C, > CONTRACTOR OR BUILDER Subdi- vision Value of Project $ BY L DATE / - � 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 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 • a'. L g y ^ ''` -',J INSFIEOTOR 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, statement 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. AUTHORITY 195 MIAMI SHORES VILLAGE, FLORIDA BUILDING ■ DATE 194_, ELECTRICAL i w - ERM1T N? 8203 PLUMBING Owner of Building Architect 1 Contractor or Builder Legal Description Work to be performed under this Permit r---- CONTRACTOR OR BUILDER Contractor's License No. Subdi- vision Address of o -/ Value of Amt. of Building / ; fo Project P ermit o e,�,.,� 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 the state cents or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. Signed. \-- ./ , B INSPECTOR In consideration of the issuance to me of this permit I agree to perform tl ork covered hereunder in compliance with pertaining thereto and in strict conformity with the plans, drawings, statement" or specifications submitted to the proper authoriti In accepting this permit I assume responsibility for a work done by either myself; my agent, servant or employee. BY AUTHORITY - ~ ' ces and g}t nsPf iami Shores Village. Permit No. Amount of Permit $ " STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires 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. p Owner's Name and Address _____„/ 2 ttsF �Zr _/��sf_QL2_L? No. ___ II__ Registered Architect and /or Engineer Employing Electrician's Name __L �/ __�_ L 2 ! No. 3 -57,g- 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 3 s'r Service Overhead Size Feeders Conduit_________ Main Sw Amps. Main Fuses ____ Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli j`•ns 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 Date 7- 2- 9 Street IZ_ .e_l__1_� ___ —J 7 Street____ �_�1� __�✓ Street__ Repairs No. of Stories Notary Public. State of Florida Electrical Inspector. Master Electrican. 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. 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 H EATER 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. LI ST CHECK Permit No. Amount of Permit $ " STATE OF FLORIDA, COUNTY OF DADE. ss. My Commission Expires 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. p Owner's Name and Address _____„/ 2 ttsF �Zr _/��sf_QL2_L? No. ___ II__ Registered Architect and /or Engineer Employing Electrician's Name __L �/ __�_ L 2 ! No. 3 -57,g- 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 3 s'r Service Overhead Size Feeders Conduit_________ Main Sw Amps. Main Fuses ____ Amps. Underground Type of Installation— Conduit Tubing B.X.L. Metal Moulding (Signed) The undersigned applicant for this building permit does hereby certify that he understands and accepts his obli j`•ns 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 Date 7- 2- 9 Street IZ_ .e_l__1_� ___ —J 7 Street____ �_�1� __�✓ Street__ Repairs No. of Stories Notary Public. State of Florida Electrical Inspector. Master Electrican. 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. 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. STREET' PART OF LOT LOT BL'K SUBDIVIS N Billboards Other Apparatus Permit Fee ff f � +^S�fYai''\ 4 r 414 44 O Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee ' Z 370 i14 actor or Electrician! tlepartment. Dated ZICAL PERMIT ist be on display on the premises during the construction. r 1,' l� ddiiarni cSltores9 llage F L O A ID A OFFICE OF ELECTRICAL DEPARTMENT 1 J .y: Miami Shores Village, Fla DESCRIPTION OF WORK NUMBER OF LO C TI ON w N° - 272 • 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, o upon y change in the plans and specifications unauthorized by , Electrical Inspec•. r',et6Svl In consideration of the issuance to me of the foregoing Electrical Permit, I hereby agree to do the proposed construction in strict conformi ty 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. , 19 ,(Seal) NO. STREET PART OF LOT LOT BL'K . d BDIVISION e G /'t2 Other Apparatus g • Outlets Motors Receptacles Generators Stoves , Water Heaters Signs Billboards Other Apparatus Permit Fee /fir' ,7 / a ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building tractor or Electrician aiami cfhores91llage F L O R ID A OFFICE OF ELECTRICAL 37 Miami Shores Village, Fla., /d . �✓7 19 1 LO CATI 0 N DESCRIPTION OF WORK NUMBER OF N° 280 • 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 upon the violation of any provisions of said laws, ordinances, or rules and regulations, or on any E ange in . e plans and spec this Department. r J In consideration of the issuance to me of the foregoing Electrical Permit, I hereb 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 Electrical Department of Miami Shores Village. Dated ! (J */ , 19 revoked at any time cations unauthorized by I , Electrical Inspector. (Seal) Outlets Motors Receptacles Generators Stoves Water Heaters Signs Billboards Other Apparatus Permit Fee /". C 7r5". ELECTRICAL PERMIT N. B. —This Permit must be on display on the premises during the construction. Owner of Building Co actor or Electrician NO. STREET S l / f. this Department. Dated , 19 cJhores91llage OFFICE OF ELECTRICAL DEPARTMENT Miami Shores Village, Fla , F L 0 R 1 D A PART OF LOT LO CATI 0 N LOT BL'K DESCRIPTION OF WORK NUMBER OF / 4 1917 SUBDIVISION 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 chan a in the plans and specifications unauthorized by , Electrical Inspector. N° - 297 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. • •/ J /, / / r , , � t�` • (Seal) THIS CERTIFICATE MUST. BE PRESENTED TO THE ELECTRIC COMPANY WHEN APPLYING FOR SERVICE. TOWN OF MIAMI SHORES RPo Office of Electrical Inspector CERTIFICATE OF INSPECTION THIS CERTIFIES that the wiring and apparatus installed at by for ._ e_ /0/1 r ^eY Address icae .4- • owner, and occupied as has been inspected and current is authorized to be turned on, until otherwise notified, for: Lights: Number of lamps Watts Heating: Stove :h 'etlitAgee watts. Water Heater watts Power: Connected load H. P. volts phase cycle Other Apparatus 0 0e# V -' N° Electrica /" CEILING BRACKETS RECPTACLES SWITCHES STOVES WATER HEATERS SIGNS OTHER APPARATUS BRACKETS MAIN SUBS BRANCHES i Wr DORS FIXTURES ONLY NUMBERS OF TOTAL OUTLETS SIZE OF SIZE SERVICE CONDUIT No. CIRCUITS LIGHTS CEILING BRACKETS MAIN SUBS BRANCHES IENT I � I L.1 AVOID DELAY BY LOT NUMBER STREET AND NUMBER OWNER OCCUPIED As BUILDING- -NEW OR OLD I UNDERLINE WHICH) KIND OF INSTALLATION BASE FIRST SECO THIR FOUR CONTRACTOR BY FL RECEIVED BY INSPECTOR PROGRESS WILL INSPECT AGAIN ROUGH WIRING FINAL No. CORRECTED TEMPORARY DAYS. DATE ISSUED FEE REMITTED t r4 7) ® a 2 APPLICATION DATE ., LECTRICAL 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 GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED OR APPLICATION WILL BE RETURNED BLOCK NUMBER SUBDI IS ON --�'- - "- _ - OCCUPANT SPECIFICATIONS SIDE H. P. of EACH MOTOR VOLTS TOTAL AMPS No 297 WORK -- ADDITIONAL, NEW, ALTERATION OR REPAIR PHASE OPEN OR CONCEALED KNOB, RX., BX., MLDG., CONDUIT, METALLIC TUBING REMARKS "40 �1�/%c�C��� P //', INSPECTION WANTED i 11/l/" (-%, -2 A ADDRESS SPACE BELOW FOR INSPECTOR'S USE ONLY INSPECTED REMARKS