Title Page

  • Document No.

  • Audit Title

  • Location
  • Conducted on

Electrical Inspection Report

  • Permit Number

  • Date and Time

  • Address
  • Owner

  • Occupant

  • Work Request Number

  • Grid Number

  • Meter Number

  • Service Type

  • Voltage and Phases

  • Amperes, Conductor Size and Material

  • Comments

  • Result

  • Notice of Violation

  • Violations

  • DAYS TO CORRECT VIOLATIONS FROM THE DATE OF THIS INSPECTION

  • PLEASE CALL FOR INSPECTION WHEN CORRECTIONS HAVE BEEN COMPLETED. APPROVAL IS REQUIRED.

  • Attachments

  • Sketch

  • Pictures

  • All service replacements and re-introduction of power inspections stop at the line side of the main breaker / disconnect. This inspection has been performed in accordance with the Pennsylvania Uniform Construction Code (PA-UCC).

  • Inspector

  • City of Pittston - 35 Broad Street, Pittston, PA 18640 - 570.654.0513

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