0010A ADAMS STREET - Electrical Permit 278 NO:...... ...... ... VP
. . ...... ..........FEE......l..a......:........
:.......... City O --City f Salem � Electrician
ROUGH IN PP �� .... FINAL INSP........ ........................ APPLICATION FOR WIRING PERMITIGN INS ................... ...... BURNER INSP.................................. v�(/
RE-INSP .. NO ACCESS/FILED 44 Lafayette Street
.......................... ..... Salem,MA 01970
SERV. P.... ........... ....... SEQUENCE#.....................................�� i% d'b 508-745-6300
........ ...22......
We shall commence.:./O.�° ....�.•1 . :...to j,e ss
premiStreit and No..1. &'1..✓ ""+.. .�. CHECK WORK TO�iDON_CVOIDONEY ;
New Work
Owner... :�..M. ...�M.� Q .S�: ! ..................... ... 1�f {. l
Occupied 6y...few....................... ..... FROM.DATE.OF P ' ;MIT old Work I I
...
Service 1 1
Used for ®welling;=. -/_ . . Condos ... . . . . . . Industrial . . . . . . . . . . Commercial . . . . No.of Meters
Wiring Service: New......:...................... Temporary.................................... Electric Sign
Service change from..............i.....Amp.to...................Amp.......................... Gas Pump a,
Service Grounded to.............i............... Ground Size'.................................. Swimming Pool,
Single Phase...................... 3 Phase.......................3 Phase.4 Wire....:............... Siding [ 1
How Installed: Conduit.................................;. S.E.................................... Range, I I
Overhead...................................... Underground................................. Water•Heater 1
Existing Service:Elictrically and mechanically good condition)... Dryer I I
r Gas•Oil Burner 1 1
Signature of Applicant......... .. ................................................ l 1
Firm'sNameCL�p � .d�........................................... No.of Circuits -
/ c No.of Fixtures
Firm's Telephone No..... �.�f S�.G.O �...... Lic.No. E.. � ) l 3..................
No.of Receptacles
Street-No..r,2: ..........Firm's'Lic.No. E.....................................
No.of Motors
City... Firm's Lic.No. A..................................
Electric Meat I I
Ready for first inspection..........:..... .. Fire Alarm l 1
r [ I
NOTE: Wifemust not beicovered in without permission. This card to be filled out before Burglar Alarm work -
cortgmenced. No this office at the completion of all work including finish. All cap-
Smoke Detectors [ 1
tioris shall be filled in COMPLETELY. NOTATIONS ON BACK.
The fee for new work ( new construction or repairs ) shall be
two dollars ($2.00) per one thousand dollars ($1,000.00) of
the valuation as shown on the building permit.
Fee schedules available upon request.
Each permit $10.00 minimum
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