FDF-salem 2005 (002) g/ City of Salem-City r
; ` CITY OF SALEM MASS
APPLICATION FOR WIRING PERMIT
ELECTRICAL PERMIT 44 Lafayette Street
Salem MA 01970
�� �� , , �,• Te1:978-745-6300 Fax 978-745-4638
❑ New Work
NO: 579 FEE: 50.00 Date:8/22/2005 ❑X Old Work
X Service
❑ No. Of Meters
This Permit is granted to William mordell License # e20839 -_ ❑ Electric Sign[:] Siding
❑ Gas Pump
Address 391 nahant road Tel# 781-581-0248 ❑ Swiming Pools/Tubs
❑ Voice Data Outlets
For the Electrical Installation at 15 andrew street Cell# X Range
Owner david haley Occupied by same --- ❑ water Heater
X Dryer
Address 15 andrew street Tel# ❑ Gas-Oil Burner
X No.Of Circuits
Proposed Work wiring service ❑ No.Of light Fixtures
X No.Of Recpt/Outlets
❑ No.Of Motors
Received By march 12, 2001 Electrical Official jig --- ❑ Space/Heating/Kw
❑ Fire Alarm System
B'P# Utility AUTH 100899 ❑ Burglar Alarm
Industrial ❑ Commercial ❑ Condos ❑ Used For Dwelling 0 ---
X Smoke Detectors
M.E.N Date 3/21/01 Signature of Applicant ❑ HVAC Units
X Other (Specify)
service 200 amp
FOR OFFICE USE ONLY
Rough Inspection
Final Inspection
The fee for new work ( new construction or repairs ) shall be three dollars ( $3 ) per one thousand dollars ( service 3/20/01
$1,000.00 ) of the valuation as shown on the building permit. Fee schedules available upon request Each permit
$15.00 minimum
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ICON I CITY OF SALEM, MASS City of Salem-City Electrican
�� ��� ELECTRICAL PERMIT APPLICATION FOR WIRING PERMIT
44 Lafayette Street
Salem MA 01970
Tel:978-745-6300 Fax 978-745-4638
IS
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The fee for new work ( new construction or repairs )shall be three dollars ( $3 ) per one thousand dollars ( $1,000.00 )of
the valuation as shown on the building permit. Fee schedules available upon request Each permit$15.00 minimum