ELECTRICALPermit No 6 ..t t
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address �hr + � No Street
Registered Architect and /or Engineer `
Employing Electrician's Nanie . ; ""'
Location and Legal Description Lot
Service Overhead
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No ..
Underground Size Feeders Conduit Main Sw Amps Main Fuses
Date
lock Subdivision,._
�
+ �,, 1
Street and Number where work is to be performed —Nq' '.... Street- -:::... �-
r 7- State work to be performed and purpose of building (B Floors) k.ti:..�.;�- ,,.) ( , `" � `""`r —
New Building Remodeling Addition Repairs No. of Stories
Amps
Type of Installation — Conduit Tubing L". B.X.L Metal Moulding
(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 com pliance 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I
SS.
(Signed) '
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
v
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
f
CHECK
ENT.
SW.
DIST.
CAB.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0.1 HP
MOTORS
1•5 HP
NEON
TRANS.
RADIO
TOTAL
CONTR.
LIST
4
CHECK
Permit No 6 ..t t
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address �hr + � No Street
Registered Architect and /or Engineer `
Employing Electrician's Nanie . ; ""'
Location and Legal Description Lot
Service Overhead
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
No ..
Underground Size Feeders Conduit Main Sw Amps Main Fuses
Date
lock Subdivision,._
�
+ �,, 1
Street and Number where work is to be performed —Nq' '.... Street- -:::... �-
r 7- State work to be performed and purpose of building (B Floors) k.ti:..�.;�- ,,.) ( , `" � `""`r —
New Building Remodeling Addition Repairs No. of Stories
Amps
Type of Installation — Conduit Tubing L". B.X.L Metal Moulding
(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 com pliance 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Amount of Permit $
STATE OF FLORIDA, 1
COUNTY OF DADE. I
SS.
(Signed) '
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
My Commission Expires Notary Public, State of Florida
NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or workmanship.
v
BUILDING
ELECTRICAL
PLUMBING
It1 PERMIT N° 10989
Work to be performed under this Permit
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
‘r+ess Co/
I BI.
MIAMI SHORES VILLAGE, FLORIDA
DATE `~
"This permit L 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 o the work covered hereby whether shown on the plans or drawing or in the statements or specifications and that he assumes responsibility for work
done by his agents, servants or employees.
In Consideration of the issuance to me of this permit I a
pertaining thereto and in strict conformity with the plans, dra
In steep Lbj jpermit I assume res sibility f all work
CONTRACTOR OR BUILDER
Subdi-
vision
Value of '
Project $
Contractor's
License No
BY
Amt. of
g woo
��►
Permit $
BY AUTHORITY
195
INSPECTOR
to perform the work covered hereunder in compliance with all ordinances and regulations
statements or specifications submitted to the proper authorities of Miami Shores Village.
e by either, myself, my agent, servant or employee.
f
BUILDING
ELECTRICAL
PLUMBING
Owner of
Building
Architect
Contractor
or Builder
Legal
Description
Address of
Building
Lot
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE � �'✓ / ( 194
Contractor's
License No.
PERMIT N° 8752
Work to be performed under this Permit
Bl.
Subdi-
vision
Value of
Project
BY
t ,,
„- / '. L ..yL.• Amt. t /
,./- ._ a 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 the state rents or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. /
8n f•'
Signed. INSPECTOR k By
In consideration of the issuance to me of this permit I agree to perform the w ork covered hereunder in compliance with all ordinance and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miarhi Shores Village.
In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee.
AUTHORITY
Company
Job
Address
REQUEST FOR INSPECTION
(
PHONE
c7 r•
7
7
Inspection ix-4- ---'• 9.. - '.' — '''
1 i
Time Ready A.M. ( P.M. x
Date Ready , , ' - ' ■,
(/'
Permit
Employing Electrician's Name__
Street and Number where work is to be performed —No.
New Building_
STATE OF FLORIDA,
COUNTY OF DADE.
}
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.
Owner's Name and Address___________ i .__l_ ' I? ]-- _No
Registered Architect and /or Engineer____________
t ` �-�-' =
6-6 Amount of Permit $____/ __------ _---------------- - - - - -- - _ —__ -- (Signed}
ss.
No 1 Street_! d - _-- -__�_ °._�
Location and Legal Description Lot Block Subdivision____ ___ ____ _____________
_________ —_
Street& / S._ 0 -/ ' _
State work to be performed and purpose of building (By Floors)
Street' r
Remodeling_____________________- Addition___ Repairs No. of Stories
Service
Overhead
Underground Size Feeders — Condui _____— __Main Sw. —__ —_— _________Amps Main Fuses_
Type of Installation — Conduit_ Tubing_ _______ —_ B.X.L._—___ Metal Moulding
tt
Date--- - - -_ -- `-------- �- -- - - --
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that h- nderstands and accepts his o. ons as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Com. d General Laws of Florida ' -(anent 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac . edgments, 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 Cammission 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.
aster Electrician.
mps t a D
A
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
T
•
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
Employing Electrician's Name__
Street and Number where work is to be performed —No.
New Building_
STATE OF FLORIDA,
COUNTY OF DADE.
}
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.
Owner's Name and Address___________ i .__l_ ' I? ]-- _No
Registered Architect and /or Engineer____________
t ` �-�-' =
6-6 Amount of Permit $____/ __------ _---------------- - - - - -- - _ —__ -- (Signed}
ss.
No 1 Street_! d - _-- -__�_ °._�
Location and Legal Description Lot Block Subdivision____ ___ ____ _____________
_________ —_
Street& / S._ 0 -/ ' _
State work to be performed and purpose of building (By Floors)
Street' r
Remodeling_____________________- Addition___ Repairs No. of Stories
Service
Overhead
Underground Size Feeders — Condui _____— __Main Sw. —__ —_— _________Amps Main Fuses_
Type of Installation — Conduit_ Tubing_ _______ —_ B.X.L._—___ Metal Moulding
tt
Date--- - - -_ -- `-------- �- -- - - --
lectrical Inspector.
The undersigned applicant for this building permit does hereby certify that h- nderstands and accepts his o. ons as an employer of
labor under the Florida Workmen's Compensation Act, being Section 5966, Com. d General Laws of Florida ' -(anent 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 sub - contractors, on work to be performed under this permit, as are
licensed by Miami Shores Village.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take ac . edgments, 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 Cammission 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.
aster Electrician.
mps t a D
A
BUILDING
ELECTRICAL
PLUMBING
Arch Oct ti
Contractor
or Builder
Owner b€ ------ ),
Building , J
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N° 4855 Contractor's 1 . ry
License No.
Work to be performed under this Permit
Signed.
Subdi-
vision
BY
DATE
194 _'
Legal Lot Bl.
Description �/
Address o 7 _ - •.'"'"� -- - -. Value of Amt. of�
Building L s t .:« Project Permit /`
This pe it is granted to the contractor or builder named above to construct the building or to install the equipment tSr device described in the appli-
cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work wil 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 anged without au jhorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above ass th onsibflity Tor . thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or dr - .ecifications and that he assumes respon-
sibility for work done by his agents, servants or employees.
By
- • T61'ECTQ,R
In consideration of the issuance to me of this permit I agree to perform the work cover hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifica submitted to the proper authorities of Miami Shores Village.
In acceptithis permit I assume res
g ss for all work done by either myself, my agent, servant or employee. I .
r ...�. _ ., er:
CONTR' OR BUILDER
AUTHORITY
UILDING
LECTRICAL
'LUMBING
Dwner
3uildng ' '''
jontractor
_Ar Builder
■
L
MIAMI SHORES VILLAGE, FLORIDA
DATE ` '
PERMIT N? 4855
, .
CONTRACTOR OR BUILDER
Wadi to be performed under
",rchitect ►
•egal Lot
_Iescription
'4ddress of
wilding
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or dbvice described in the appli-
_ation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
-ilans, drawin s statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
It any time • the work is not done in compliance with such ordinances or if the plans are anged ithou authorization. A further condition upon which this
hermit lilt granted is the understanding that the contractor or builder named above ass the re onsibi'ty. for thorough knowledge of the ordinances and
egulations pertaining to the work covered hereby whether shown on the plans or ecifications and that he assumes respon-
lbility for work done by his agents, servants or employees.
Bl.
this Permit
Signed•
Subdi-
vision
Value of
Project
~ 1161'
BY
Contractor's !
License No 1
Amt. of
Permit
By
In consideration of the issuance to me of this permit I agree to perform the work cover hereunder in compliance with all ordinances and regulations
-ertainizg thereto and in strict conformity with the plans, drawings, statements or specificatibons submitted to the proper authorities of Miami Shores Village.
to aacepting permit I asuSiy,raaponsfbi$ or all work done by either myself, my agent, servant or employee.
V"
AUTHORITY
194_
Owner's Name and Address
Registered Architect and /or Engineer _
Employing Electrician's Name
of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
Permit No . _ _��_ Date ___1._' ti
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.
ELECTRICAL INSPECTION DEPARTMENT
No. – – _-
No
Location and Legal Description Cr _______
Street and Number where work is to be performed —No 7 5� �__ C _ Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs ____ No. of Stories
Service Overhead Size Feeders Conduit._ Main Sw. Amps. Main Fuses_
Underground
Type of Installation— Conduit Tubing _ B.X.L __________ _ -_ -- .Metal Moulding
(Signed)
Street_ !1
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.
STATE OF FLORIDA,
COUNTY OF DADE. 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 be 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
Street .__ -- ----------- - - - - - --
Electrical Inspector.
Master Electrican.
Amps.
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.
CAS.
SERVICE
TEMP.
SERVICE
PERM.
MOTORS
0-1 HP
MOTORS
1 -5 HP
NEON
TRANS.
RADIO
TOTAL.
CONTR.
LIST
CHECK
Owner's Name and Address
Registered Architect and /or Engineer _
Employing Electrician's Name
of Permit $
My Commission Expires
MIAMI SHORES VILLAGE
APPLICATION FOR ELECTRICAL PERMIT
Permit No . _ _��_ Date ___1._' ti
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.
ELECTRICAL INSPECTION DEPARTMENT
No. – – _-
No
Location and Legal Description Cr _______
Street and Number where work is to be performed —No 7 5� �__ C _ Street
State work to be performed and purpose of building (By Floors)
New Building Remodeling Addition Repairs ____ No. of Stories
Service Overhead Size Feeders Conduit._ Main Sw. Amps. Main Fuses_
Underground
Type of Installation— Conduit Tubing _ B.X.L __________ _ -_ -- .Metal Moulding
(Signed)
Street_ !1
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.
STATE OF FLORIDA,
COUNTY OF DADE. 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 be 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
Street .__ -- ----------- - - - - - --
Electrical Inspector.
Master Electrican.
Amps.
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.
APPLICATION No. 2 f
Date ic. a. -3 , 192 C ..
FOR FIXTURE WORK ONLY
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI
1 r -- ( , �r
\
, ,
Desiring your Certificate of Approval, application is hereby made for an inspection of the electrical instal -
latio inothe premises stated below, for which the undersigned agrees to correct any infractions of the Nat -
ionatElectrical Code and the City Rules pointed out by Inspector.
.
'` ^� l 3;
�� 'VOID DELAY BY GIVING FULL AND ACCURATE INFORMATION
C .. ` i
ALL SPACES Street and Number
Lot Number
Oe MUST BE FILLED, T T. Tl OR APPLICATION WILL BE RETURNED
/ Z Block Number /1 /7 L
V141 — des-E .1 L Side
•
LOCATION
Owner Occupant
Work— Additional or New (underline which).
Occupied as
Building —New or Old (underline which).
Floor
Basement
1st Floor
2d Floor
3d Floor
4th Floor
5th Floor
6th Floor
7th Floor
8th Floor
Attic
Number of
Lights
1
(Applicant sign here) 4 44.°3 6
Received by Inspector
CERTIFICATES
Progress
Will Inspect Again
Rough Wiring
FINAL No.
Corrected
Temporapt
/ Days
Approvtter
Date Issued
F11 -5M -6-25
Ceiling Outlets
DEFECTIVE
Time
Allowed:
4
Days
SPECIFICATIONS
Work will be started
Remarks:
Bracket Outlets
/
Number of Circuits
9
REMARKS:
will be finished ..._ e.e...4 Z
-14,—/• j Address / CC /••.2e0.....l i
1. Street ....
SPACE BELOW FOR INSPECTOR'S USE ONLY ,
�
- Inspect
Correct Location +" , ! �" . M j . .
Correct Equipment
Electric Light Co.
Fee remitted
, Inspector