FDF-salem electric dep2005 (002)
City of Salem-City Electrican
CITY OF SALEM, MASS
APPLICATION FOR WIRING PERMIT
ELECTRICAL PERMIT
44 Lafayette Street
Salem MA 01970
Tel:978-745-6300 Fax 978-745-4638
New Work
NO:103FEE:15.00
Old Work
Date:
8/22/2005
Service
No. Of Meters
Electric SignSiding
This Permit is granted toLicense #
castle electrica16191
Gas Pump
Tel#781-762-9891
Swiming Pools/Tubs
Address
bldg 21 endicott street norwood mass.02662
Voice Data Outlets
For the Electrical Installation atCell#
28-3 america way
Range
Water Heater
OwnerOccupied by
robyn danielsame
Dryer
Gas-Oil Burner
AddressTel#
same978-793-2437
No.Of Circuits
Proposed Work
dishwasher reconnect
No.Of light Fixtures
No.Of Recpt / Outlets
No.Of Motors
Received Byjune 21, 2005
Space / Heating / KW
Electrical OfficialJJG
Fire Alarm System
B.P#
Burglar Alarm
Utility AUTH
IndustrialCommercialCondosUsed For Dwelling
Smoke Detectors
M.E.N Date
Signature of Applicant
HVAC Units
Other ( Specify )
dishwasher
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 (
$1,000.00 ) of the valuation as shown on the building permit. Fee schedules available upon request Each permit
$15.00 minimum
P2
CITY OF SALEM, MASS City of Salem-City Electrican
APPLICATION FOR WIRING PERMIT
ELECTRICAL PERMIT
44 Lafayette Street
Salem MA 01970
Tel:978-745-6300 Fax 978-745-4638
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