P - 77997REQUEST FOR ELECTRICAL INSPECTION
""X" Below Work Covered by This Request
Add MD• Type ot Buildinq ApO����css INirsd
� Home Range
Duplex Water Heater
Apt. Build�ng Dryer
Commercial Bldg. Furnace
Industrial Bldg. Air Conditioner
ther Dec� v
Farm
t r pec� v
ite lnspection Fee Below
F�a S��vic�Entr�nc�Si:•
Otol00Am
101 to 200 Am
gns
F�nal
..�
Fea Feedeis�Subleeders p
0to30Am s
31 to 100 Amps
Above 100_Am 5
Remote Control Circ.
Speciai Inspection S
2259
EQu�vment Wired
Temporary $ervice
Lighting Fixtures
Electric Heat�nq
Silo Unloader
Bulk Mi�k Tank
�he� lSpec�t�l
Otner
Fee Circuits
0 to 30 Am
31 to 100 Am .
Above 100_�
Partia�!Other F
/ �y TOTAL FEE
-'� 1, the Elsevical
Inspsctor, h�reby
cartily thet the abovs
'��P insD�ction has bsen
Z"g"G� rtrde.
Th1s request w�d
18 nqnihs f�om
o�C�C��I- OC�3�
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Th�s request w�d
,e �����.f��, 2 2 5 9 ��
a��r-�.�� �
� licens
❑ Owner
� 1��r�by r�qusst inspectio� ot sbovs
elsctncal work insfalled at: