HomeMy WebLinkAbout39796-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
ca
�g�• 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#: 39796 Date: 5/22/2015
Permission is hereby granted to:
Drell Corp
PO BOX 939
Cutchogue, NY 11935
To: electric
At premises located at:
25500 Route 25, Cutchogue
SCTM #473889
Sec/Block/Lot# 109.-3-5
Pursuant to application dated 5/22/2015 and approved by the Building Inspector.
To expire on 11/20/2016.
Fees:
ELECTRIC $125.00
Total: $125.00
Building Inspector
04/22/2015 12:15 6317656641 SOUTHOLD TRUSTEES PAGE 62/62
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AIaPtICATlUN FOR ELCTRICAL 1NSPCTtUN
REQUESTED13Y- /�,{�Y �/,� �!�_
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Company Name: - �L�� %f27� CvIj
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License No.: qq &62
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' Rhone No.: 27& -0 D l d
YJOBSITE INFORMATION: (1nd,icates required Information)
Nanta: Og/E�7 'r✓A
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.!Cross Street: — _ �r•---•�— --_--- .,_.
*Phone No,.
hermit No.:
Tax,Map District. 1000 Secticart: _ Block: Lot:_ / D
*BRIEF DESC_R^iPT-ION OF WORK(Please Forint Cleady)
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(Please Circle All That Apply)
'pis-job ready for inspection: YES! !Q hough In CF1na)1
To-you need a Temp Cartificate: YES i(q
Temp Information (If heeded)
"Service Size: 1P hase Vhase 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
ode 1 as
,82-Bequest for Inspection corm
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