HomeMy WebLinkAboutElectrical Inspection Form 4/30/25 Commonwealth of Massachusetts
Division of Occupational Licensure
taTIN, 1Board of Registration of Cosmetology and Barbering
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Electrical Inspection Form
INSTRUCTIONS: This form should be completed only if electrical work has been
done in the salon after purchase.
Date: q l 3D/• 'zJ
This is to certify that I am an Electrical Inspector for 7A-C Lill ,and that the electrical
Name of city or town
alterations or installations for:
T, C-F ✓Je ThL/4Uf`/ 1/U3f l IVE b`1 co ,i Jtl-.
JName of Salon Applicant /
Street Number Street Name
1 iki PI11-11N (5 P. ec
City O U j 4• State ir
are in accordance with the specifications of the state electrical code found at 527 CMR,
Name of City or Town Where Shop is Located
Name of Electrical Contractor e Te C f C I Cl
License# 1 11 4- G." b
Exp.Date 0 4 • ,21. �;0,,L tf
Address (3,2, . A I e ap_ c c/U LA1 k?ic 1,01.E_
No. et City/Town
Signed: / e
gle ctrical ns ctor License# Exp. D