1019 NE 96 StFLOOR
Basement
1st Floor
2d Floor
3d Floor
4th Floor
5th Floor
6th Floor
7th Floor
8th Floor
Attic
NUMBER OF
LIGHTS
Form 155
Received by Inspector 5 —/
CERTIFICATES
Progress
Will inspect again
Rough Wiring
FINAL No
Corrected
Temporary Days
Approved Letter
Date Issued
CEILING OUTLETS
DEFECTIVE
Time
Allowed:
Days
APPLICATION No of 4/ 3
FOR FIXTURE WORK ONLY
ELECTRICAL DEPARTMENT OF THE CITY OF MIAMI
Desiring your Certificate of Approval, application is hereby made for an inspection of the electrical installa-
tion in the premises stated below, for which the undersigned agrees to correct any infractions of the National
Electrical Code and the City Rules pointed out by Inspector.
LOCATION
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.
ALL SPACES MUST BE FILLED, OR APPLICATION WILL BE RETURNED.
Lot Number Block Number 9 Street and Number ( / Z Side
Owner Occupant
Occupied as
Building —New or Old (underline which). Work— Additional or New (underline which).
SPECIFICATIONS
REMARKS-
Work will be started will be finished
Address
(Applicant sign here)
Street
SPACE BELOW FOR INSPECTOR'S US ONLY
'- 9
Inspected
Correct Location / (
Correct Equipment
Electric Light Co
Date , 192_,
BRACKET OUTLETS
Fee remitted J
Remarks •
NUMBER OF CIRCUITS
- ice inspector