HomeMy WebLinkAbout37895-Z o�$�FEol�co TOWN OF SOUTHOLD
�� Gy BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 37895 Date: 3/29/2013
Permission is hereby granted to:
Maud, Thomas & Maud, Mae
4 Alden PI
Port Washington, NY 11050
To: underground electric service
At premises located at:
1135 Calves Neck Rd, Southold
SCTM # 473889
Sec/Block/Lot# 63.-7-33
Pursuant to application dated 3/29/2013 and approved by the Building Inspector.
To expire on 9/28/2014.
Fees:
ELECTRIC $85.00
Total: $85.00
Building Inspector
SO�lyO
Town Halt Annex 4 Telephone(631)765-1842
54375 Main Road ro4er.richertCa?o sout�io�d.n us
P.O.Box 1179 G • X•
Southold,NY 11971-0959.
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BUILDING DEPARTMENT
TOWN OF SOUTSOLD
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY: i? Date:
Company Name:
--
License No.: 3 _
Address: 20
Phone No.: - 2g - 43
-
JOBSITE INFORMATION: (*Indicates required information)
*Address: \ \ LaL ' Q P LL
*Cross Street:
*Phone No.: (®�\ SLAR - UI -1-10Permif No..
Tax Map District 1000 Section: Block:. _ Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) A-0
(Please-Circle All That Apply)
*Is job ready for inspection: YES NO Rough In Final
*Do you need a-Temp Certificate: S NO
Temp Information 1 ed)
*Service Size: 1 Phas 312hase 900 150 20 300 350 400 Other
*New Service: Re-conn Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
c�
82-Request for Inspection Form J�