CITY OF SPRINGFIELD
BUILDING DEPARTMENT
Electrical Inspection
STREET & NO..
PERMIT NO.
EXAMINATION OF.
BY
OCCUPIED BY
OWNED BY
CONTRACTOR
CONTRACTOR'S ADDRESS
STUB NO..
REFERENCE
DATE.
19
CURRENT SUPPLIED. U. E. L
VOLTAGE SUPPLIED. 110, 125, 220, 440, 500, 550, Arc Light.
CAPACITY. Arcs.
Isolated plant.
Steam.
Gas.
Direct.
Alternating
Incan.
Motors.
2 Glower.
Type.
Maker
Generators.
3 Glower.
Volts
Outlets.
6 Glower.
1 Glower.
Nernst.
DYNAMO RATING. No.
K. W
Amperes.
Н. Р.
REGULATORS, RHEOSTATS. Mounted on switch board.
Wooden Wall. Overload Attachment. Underload Attachment. Enclosed. Open.
R. P. M.
Brick
Stone.
Plaster.
Incan
Open
SERVICE ENTRANCE. Overhead.
SWITCH BOARD.
Arc.
Solid
Power.
Marble.
Connections front.
Slate.
Wood.
Skeleton.
Cabinet type.
Enclosed.
Back
Feet from street surface.
Fused.
Underground.
Conduit.
Entrance through tubes.
Wires boxed
Iron Pipe.
MAINS.
Weatherproof.
Rubber.
No. & Size.
RISERS
Rubber
Weatherproof.
No. & Size.
Weatherproof.
BRANCHES.
Rubber
No. & Size.
TAPS
Weatherproof.
Rubber.
No. & Size.
CUT-OUTS. Porcelain. Slate. Mica. Edison. Open. In cabinets lined. Unlined. No.
Volts
Single
Plug
Enclosed.
Open
Flush.
FUSES. Link.
Amps.
Three pole.
SWITCHES. Jackknife.
Covered.
Open.
Steel armored.
Solid
Spring.
Double
Single
Iron
Indicating.
Snap.
Covered.
Double pole.
Enameled
TUBES. Porcelain,
CORDS. Fixture.
Iron armored.
Circular loom.
Pendant.
Greenfield.
Alternating
Outside of building.
Portable.
ARC LAMPS. Series.
Low Potential.
Direct.
Enclosed.
Inside of building.
Open.
In Vault.
TRANSFORMER. Located on pole.
WIRING SYSTEM. Grounded.
Secondary
Yes.
No.
Neutral Wire.
Left or right of
line. In transformer secondary.
Exposed.
CLASS OF WORK. Concealed.
Moulding.
REPORT ON New wiring. Rough wiring. Rewiring. Alterations. Additions. Temporary.
NO. OF VISITS.
Conduit.
Knob.
Cleat.
Tube,
Fixture.
Loom.
Standards.
Fished.
Line.
NO. OF DEFECTS
APPLICATION
By mail.
Amps.
Tel.
Volts.
SERVICE. Immediately
PERMIT FOR LATHING
Future.
Two wire.
Three wire.
Mailed
Left.
Not given..
Not given.
PERMIT FOR CURRENT.
Left.
Mailed.
(OVER)
