P - 77982REQUEST FOR ELECTRICAL INSPECTION
"'X'" Below Work Covered by This Request
Add Mp. Type o1 lu�ldi�p ADD��ancss Wirsd
Home Range
Duplex Water Heater
Apt. Bwlding Dryer
Commercial Bidg. furnace
� r � c�«. � n� �.n� u� c 1 �tiry '-
��tvw � �vn [L[l, l KIGAL IIYJi't1.11U1Y
""X"" Below Work Covered by Thrs Request
Add R�o. YDa of dwldinq ADDlianc�a IMi��
Home qa��
Duplex Water Heater
Apt. Bui Iding Dryer
Commercial Bldg. Furnace
Industrial Bldg. Air Conditioner
Farm ther oeu v
t r uec� y t e
ite lnspection fee Be/ow
Fee S�rvic�Entrsnc�Si:e k Fes
0 to 1W Am
101 to 200 Amos
� «s
upn-in
Final
ims request w�d
18 months f�om
Feeders�Subfeeders i
0to30Am s
31 to 100 Amps
4bove 100 _ Am 5
Remote Control Circ.
ipeciallnspect�on S
te
D:+�e
3. 2�
�269
Equ�vment Wir�d
Temporary Service
Lighting Fixtures
Electric Heat�nq
Silo Unloader
R��Ik Milk Tank
2261
Equipmsnt Wir�d
Tempprary $ervice
Lighting Fixtures
Electric Heat�nq
Silo Unloader
Bulk Milk Tank
tner (SD@Ci�y)
Other
fes Circuits
0 to 30 Am �
31 to 100 Arr
Above 100_
Part�al �Other
�� TOTAL FEE
I, ths Elactric�l
Inspsctor, heraby
csrti/y thet the ebovs
insp�ction has bsen
made.
. . � � l.�iiiis'ifif �`ii-f i'i'� �i"�'�a�"�iTi i'Yi � �ifli"'iYli"�Ar�tLi'i�ti yi"� r r`�A �'r � � � � +�
�.''�' l!7 �/ � ;�( 'i Q�
Th�s request w�d �����^
18 rnpnth from •��CJ �
�`,
�����3 2261
RpQ�s�t F�re No. qouph-�n InsDection
�� ��% Aepu�red? �Reativ Nuw [�' Wii� Noufy InsPec-
7 ❑ ves ❑ No tor When Ready
�censed Electr�cal Contrqctor 1 A�r�by �equest inspsetion of abovs
❑ Owner
. elseencal wnrr �o:�.n�a �. �