95-673 EXPIRED N - .,..,._.t... -
Lo
M �\
C\2 1 11b
� I �
ry n►11 d Q c� /� DATE
with our comme, .Mall `
construed as indicating 1118
i and specifications are in fall
Fiance with the cede.
MUST BE
. O I LBY BARRIER
TICE
o a; FOAM MUST K COVERED
A Iii �� MRR) 4
D BUIIGljro� a lZirAIL°i �-YsTrvN
_ t
-� _---- -------- --- PRS/3��NV��Ctvrz � � VSS
i
�j 1 ,
SO S NOW kV -�Cf OW F'44 1 Z _ S Fly SCk�°
To
W/PJDaw 5
- r� iy1�tTc
vl�yf SiD+wy `�
1r---2XLt 1 Asle(oc ST
1 �}3 P Vwl Tie
��� �Tuefe(
s �JAlts Chi ZX6 PAT Nsv L,gTIw ice a�f�
1 6 � �
i i3R�D�,iw�
10 JOIST-
i
d 3 — 2xID CIrRDE2
l�JSULATI4-3 Posr 8 G�Drv(kCTC
�f�S���,r,�►N Crx,E✓ R�
12 k!b W 2-
0 0 - • ° �d /CSA k
LFII Five 51( G' ,d sS' / / Conl rrrvvvS
To J wv r rw.v I w CA Z r T 'Ttf1 /'4S
3S'l - 73f cl QWD
p i£2 PPrA �
16 K 1 b"K(Z�► l
1(
3(,i
Cl
Li _
i
i
� tCCc
35 � y (*�4 Acf
az
4
e
i
0
c �
cry
23 `
Ati
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIF"TES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BF INSTAL LED BY
TEMP M
r �d�
k >
CITU OR VILLAGE (ZIP CODE (TOWNSHIP f�COU",v
STRk AND NO.6.- k.' T I�• POLE NUMBER
,� . .t' - f. l l / r
BETWEEN WHAT TW RO EEYS PRE S LOCATED? SECTION BLOCK
i.
ANT ��-- f
S NAME'. `��Jt' �" � t �" `" BUILDING OCCUPANCY
K I
OWN R5 NAME AND ADDRESS HOME TELEPHONE NUMBER
t I
CUR TSUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS II--II
NEW OLD❑ WORK IS NEW L,y- ADDITIONAL DEFECTS REMOVED❑
1
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
tion Side Attach'Is
H.R Watts A.W.G.
Ceiling Wall Recep'ls Switch Pendant Bracket No. Type Each N0 Each NO Gauge INSPECTION
OUT-
SIDE
SUB-
BASE
BASE-
MENT
1st
FL.
I
2nd
FL.
3rd
FL.
i
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
I
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS FEEDERS ELECTRIC SIGNSMMPS TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS .
IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF APPLICANT DATE OF APPLICATION PLICA
A i
ST ET ADDRESS TE PONE NO.
CI ST F{F�ICE ZIP CODE LICENSE NO.WHEN APPLICABLE
E] 85 John Street I ❑ 111 Washington Ave. (❑ 3291 Lake Shore Road (❑ 217 Lake Avenue ( SYRACUSE,NY 13206❑ 202 Arterial Road
Wr�jIEW YORK,NY 10038 SUITE 704 BUFFALO,NY 14219 ROCHESTER,NY 14608
ALBANY,NY 12210
(1,1 At aFP-9T72 (716)827-1155 (716)254-0141 (315)463-8552
V
7dX ti
wi'.. Qo .
14 S�r
tq
tj
LL
11, kb 14
.� �` �V �• It � Q Q ,,} Q OC Q ,( W � � 4.._..._...V V �.
c U _ E o
dx 'CL OL
H W iir 14
•V
p�
R
Q � V
i�
in o.' ..o o,�9 �. .4
3 3 w W �. y
RWW:a
Cd
-
a
e� Qyj $ Q
ka k3
FT
71
\ rt
1
Say "t;• A
9/v/a 3 eYd (o.3n e,9 o�7.rodoa
b
T Q u fj ;i' 0 W �L
eo
.P/V/07/ O
P-7/j/d�lin'Af•gin/1arv'
� Z, .