Title Page
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Document No.
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Audit Title
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Location
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Conducted on
Electrical Inspection Report
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Permit Number
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Date and Time
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Address
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Owner
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Occupant
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Work Request Number
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Grid Number
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Meter Number
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Service Type
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Voltage and Phases
- 120/240V - 1Φ - 3 Wire
- 120/208V - 1Φ - 3 Wire
- 120/240V - 3Φ - 4 Wire
- 120/208V - 3Φ - 4 Wire
- 277/480V - 3Φ - 4 Wire
- 240V - 3Φ - 3 Wire
- 480V - 3Φ - 3 Wire
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Amperes, Conductor Size and Material
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Comments
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Result
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Notice of Violation
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Violations
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DAYS TO CORRECT VIOLATIONS FROM THE DATE OF THIS INSPECTION
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PLEASE CALL FOR INSPECTION WHEN CORRECTIONS HAVE BEEN COMPLETED. APPROVAL IS REQUIRED.
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Attachments
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Sketch
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Pictures
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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).
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Inspector
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City of Pittston - 35 Broad Street, Pittston, PA 18640 - 570.654.0513
