P - 78827•a�v�.a � ■ vn CLC{.r 1 t1�liMl �I��fCV I IVI�
""X" Below Work Covered by This Request
Add Rep• Type of Bwldioq . ApDliancss Wirad
Home Range
Duplex Water Heater
Apt. Bwlding Oryer
Commercial Bldg. Furnace
Industrial Bidg. Air Conditioner
Farm cher nec� v
t r uec� v t er
�ompute lnspection fee Below
1t Fse S�rvic� Entran p fse fesders�Subfeeders �
Otol00Am Oto30Am s
101 to 200 AmpS 31 to 100 Amps
Above 200 Am Above 100_Am 5
Transformers Remote Control Circ.
Signs Speciallnspection
Remarks ^_ � � � S
i ri
aouan-in o
Final
Thls request w�d �
18 nwnths f�om
2241
Equipmenl Wired
Temporary $ervice
Lighting Fixtures
Electric Heat�ng
Silo Unloader
Bulk Milk Tank
tne� ISoec�fyl
Other
te
D'AIP.
7 Z-
Circuits
0 to 30 Amns
31 to 100 Amps
Above 100_Amp;
Partial!Other Fee
TOTAL FEE
1, tf�e Eleetrical
Inspector, hsreby
certify thst th� nbove
insvsction has been
mede.
T�,S «a�es� ,�,d �' 363�' �, ao
, g ,��t��...f.�, 2 2 41
uce�sed Electncal Contrector
Owner
1 h�r�by r�qusst inspect�on of abovs
slectrieal work installed at: