HomeMy WebLinkAbout07110077 ApplicationNov 19 2007 9:2.1AM Morphey Construction, Inc 3173569253 P.1
JUI-1772007 TUE 0939 AM FAX NO, P. 03
City fCamel/Clay TOWWNp
APPLICA'T'ION FOR ELECTRICAL INSPECTION
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APPLICANT W PAW, 3i7 39-6 - 9aS0
IMFORNATION: property Owner Contractor
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(o agent) -
OR
TYPE of WORN:
RESIDENTIAL; /
COMMERaAL:
P.PoP@RTY vROrain o? rw+e[sk
CARr1EL STET DE wro"c`
C317) 733 aool
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3yoto W. 131sT Sr ON ? °°
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INPORFIATWNl ?? or- %N ? it-
aa o TIME OF INSPECTION:
TYPE OF IMPROVEMENT'.
O UPGRADE SERVICE: From to
Q UPGRADE PANEL BOARD(S)
o ADDITION, ALTERATION, REMODEL, or REPAIR TO
AN BWMG R.ECTRICAL DISfRIBUION SYSTEM
NEW METER SERVICE Q.e. Fou to In.POM;
SubdNMlon sheet or slgnage lighting; Instagatich or
new gglV aerviaaafor an arm)
O ROW SIGNAL, SENSOR, MONTTOR (i.e. Traffic i#rt)
O CONNECTION or RECONNECTION TO A RELOCATED
'. STRUCTURE
MWVAFIY OGRvaa rr v?rr..rM?
TO UNIDERGROUND?
D YES No
Number of NEW CIRCUITS: .
Number of METERS:
I CERTIFY THAT THE INPD MTION CONTAINED
ON THIS PD O MPLETE AND ACCURATE.
IASY $AW 11-19-07-19-D7
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COMMENTS or FURTN ER LOCATION CLARIP[CATIONI (Plealeattachma
A
FEES: $104.00 for Commercial Inspections; $ 57.50 for ResIdenNil Inspections