HomeMy WebLinkAbout41944-Z �gUFFO(` TOWN OF SOUTHOLD
�� Xc°ate BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
oy . SOUTHOLD, NY
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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#: 41944 Date: 8/31/2017
Permission is hereby granted to:
HJHW Peconic Sound LLC
11 E Broadway Ste 15F
New York, NY 10038
To: 100a overhead electric service.
At premises located at:
4660 Blue Horizon Bluffs, Peconic
SCTM # 473889
Sec/Block/Lot# 74.-1-35.52
Pursuant to application dated 8/31/2017 and approved by the Building Inspector.
To expire on 3/2/2019.
Fees:
ELECTRIC $85.00
Total: $85.00
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Town Hall Annex It l [ Telephone(631)765-1802
54375 Main Road cn ax(631)765- 5Q2
P.O.Box 1179 G Q roger.richert(c fown.sotlt�0 .nV.us
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD !
APPLICATION FOR ELECTRICAL INSPECTION
REQUESTED BY- �t��y�47 ��t Date: �j•��. f I
Company Name: - • (
Name: _
i
License No.: l"
Address:
Phone No.:
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JOBSITE INFORMATION: (*Indicates required inf
*Name. Y�VWAWMr
*Address: '70dzi Sptd. -/V Y /If 71
*Cross Street: S C^d k
'Phone No.: n
Permit No.:
Tax-Map District: 1000 Section: Block: Lot: Z,
*BRIEF DESCRIPTION OF WORK (Please Print Clearly)
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(Please Circle All That Apply)
-
*Is job ready for inspection: YES/ NO Rough in Final
*Do-you need a Temp-Certificate: YES/ NO
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 FormQ�