P - 77994REUUEST FOR ELECTRICAL INSPECTION
'"X"" Below Work Covered by This Request
Add N�p• Type of Buildi�q Apo��ancea 1Nirad
Home Range
Duplex Water Heater
Apt. Bui Iding Dryer
Commercial Bldg. furnace
Industrial Bidg. Air Conditioner
Farm ther nec� v
t r pecify t er
�mpute lnspection Fee Below
F�a S��vic�Entr�ne�Size
Oto100Ams
101 to 200 A
Above 200
Transformers
Si gis
emarks � � �
F��al
This request vo�d
18 n�onths f�om
2285
Equ�pme�t Wired
Temporary $ervice
Lighting Fiztures
Electric Heatinq
Silo Unloader
Bulk Milk Tank
the� lSDec�fyl
M Fee Feeders�Subfeaders 11 Fee Circuits
Oto30Ams �to30Am�
31 to 100 Amps 31 to 100 Arr
Above 100_Am s Above 100_
Remote Control Circ. Partial �Other
Spec�al Inspectlon S ��r
TOTAL FEE
.�/ a � � n �a i
--�V I, the Elactnesl
Inspsctor, hersby
urGfy that the ebovs
�'��P �nsp�ction has bsen
� ��,G mede.
� � � � - - - - � � -- -_ � ° -` --rrac .ra.-s.sv.r`�-:.v+.�.�-��..-� � � � �...� �.. � � ��� �
------------ ��' �0��1
7h�s request w�d �`���// • / � � � � �
18 months,...from /, �� l
v
Neque te F1re No. Rouyh-�n�lnspecuon ��adv Nuw �'j W�II NoUfy Inspec-
Re4u�red.
�Ves ❑No �or When Ready
�ce ed EI tncal Contractor ��Y'] 1 h�r�by r�quest inspsctwn of above
�,�e� V � � /'1�etsctncal work �nstalled st:
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