HomeMy WebLinkAbout45263-Z o�SaFFoIK o TOWN OF SOUTHOLD
,� ay BUILDING DEPARTMENT
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TOWN CLERK'S OFFICE
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z 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#: 45263 Date: 9/30/2020
i
Permission is hereby granted to:
McLaughlin, Marie
89-10 85th Rd
Woodhaven, NY 11421
To:
Electric Fire Repair C I'-erns,
At premises located at: _
7805 Bridge Ln., Cutchogue
SCTM #473889 -
Sec/Block/Lot# 84.-1-6.1
Pursuant to application dated 9/30/2020 and approved by the Building Inspector.
To expire on 4/1/2022.
Fees:
ELECTRIC $90.00
Total: $90.00
Building Inspector
07-30-10; 12:27 6660479 # 1/ 2
Town Hall Annex / Tdcphornc.(631)765-1502
.54375 Main Road
P.O.Box 1179 `G j ro er.ricru,
Soudiold,NY 11971.0959YO D
E P 2 3 2020
BUILDING DEPAKI MB.Nl'
TOWN OF SOFT HOLD BUMDPIG DE TT.-
APPLICATION FOR ELECTRICAL INSPECTIONT0VR:,T0,7''5CTJTH0LD
REQUESTED BY: Date: 4 ((
Company Name:
Name: _ Jas Pry a rh
License No.: YVV q06-2—
Address: XI-A C`�(2��vc� � ►U ��iC,+-!reo, f TZ as
Phone No.: (�- r. ��6 _Q-e
JOBSITE INFORMATION: (*Indicates required information)
*Name:
----------------------------
*Address: L-A [: 0wh C kac y
*Cross Street:
*Phone No..-
Permit No.: L4 5a 10*6
Tax Map District: 1000 Section: Block:_� Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly)
4 cxl 6-%,:2 Lt6yrrS
(Please Circle All That Apply)
*Is job ready for inspection: YES 1 NO Rough In Final
*Do you need a Temp Certificate: YES /(
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re.-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APPLICATION
82-Request for Inspection Form