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P - 84410REQUEST FOR ELECTRICAL INSPECTION X$e�ow Work Covered by This Request Add Rep. Type of Building APpliances Wired Home �� Duplex Water Heater Apt. Building Dr Cortmercial Bldg. Fu nace Industrial Bldg. Air Conditioner Farm O�ne� Pecr y , 1 � uecify Other ��C ��spec[ion Fee Below Fse Sa�viceEntranceSize � to 1 UO Am s _ � �� LO 2� Amnc ' � Signs Final This reQ� o�d � 8 months from This reQuest void 18 rrwnths from f/ � Fee Feeders�Subfeeders �to30qm S 31 to 100 Amps Above 100— A,,,, �—, � G,�L, � �G� �� ues[ pate F�re No. qe /' �l.J � ,� ❑ Licensed Electrical Contractor �Owner te Control Circ. al Inspection S 0997.1 EQu�Dmeot Wiied 7emporary $ervice Lighting Fixtures Electric Heatinq S�lo Unloader Bulk Mi1k Tank ther (�SpBCify1 C"cu�cs � f0 30 qrpp� 31 io 100 Am TOTAL FEE I, ths Electrica� �^$Dector, hersby �P certify thet tf�e above � inapection hss bewn 7 meds. F ; —� .� a . ��7 Q9971 uph-in Inspectipn vu�red? ❑Read Now � ❑YeS �No Y Will Notify InsPec- �or When qeady � hereby request inspection o} abovs electrical work inatallsd at: 2��03