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TOWN OF MONTVILLE
BUILDING DEPARTMENT
310 NORWICH-NEW LONDON TPKE.
UNCASVILLE, CONNECTICUT 06382
Electrical PermitTe4 860-848-7166 Fax 860-848-7231 Page: 1
Permit Number: EL1999-129 Printed: 8/18/99
Approved:
Applicant: Landers' Bros Electric Zoning:
, P.O.Box 879 Addition:
East Lyme, Ct 06333 Block:028 Lot(s): 005-072
Parcel Number: PARC1999-413 Section:
38 Partridge Hollow Township:
Oakdale, Ct 06370 Range:
Area:
Legal Description:
Electrician Landers Bros. Electric, Inc.
253 Boston Post Road Voice: 860-444-0850
East Lyme, Ct 06333 Fax:
Local License: State License: E-1 123459
Fees and Receipts:
Number Description Amount
FEE1999-1407 paid on bldg. permit $0.00
Fees Total: $0.00
Power Supplier: C L & P
Short Description: complete electric for new house
Amp Service: 100
Project Description: service and wiring for new house
Documentation: service and wiring for new house
/l/S'
Building 0 icials Signature Date
Town of Montville
Building Department
310 Norwich-New London T ke
-***********************, **************************06************382 Tel . g***
7166
APPLICATION FOR BUILDING PERMIT OR TRADES PERMIT, Please fill out completely*
j�y�q�,r ��05 completely
Owner : ���U
If011 Mailing Address :
�L{ State:
Zip Code 0�
City: bj
7,6o Tel 5--E7y-5oZ
Cl
Job Location: 8- ?Orrin d6J . 4J/M
Map/Block/Lot : �---
Contractor: rie
C LC- Mailing Address : rev F79
City: rai lw� State : C/
************* *******************************p*mod**** ***** **** * **
Stick Built : Modular Home:
Manufactured Home: Commercial :
Addition: Garage : Car Port :
Shed : Remodeling : Roofing : -
Siding : I
Fireplace : Chimney: Windows : _ Pool : Demolition:
Plumbing : Heating : Electrical : conditioning :
- Gas :
Patio: _ Porch : Deck : Retaining Wall : New:
- Repair/Replacement :
Job D1SCri .�
pti . n/Materials used: /
3ize: — D/ /
• ---------
Type of Heat : Fireplace :
io. of Stories :
No . Rooms :
_ Bree_.? ay :
lo . Baths :
Garage :
Use :
I hereby certify that the proposed work will conform to the Basic
Wilding Code and all other Codes as adopt.- _
he Town of Montville and further attest titjlthe State of Connecticut, and
e
Tthe owner in fee and that I am authorized to mak_eproposeapplicationworklforsuahpei t
or such work as described above. permit
caner/Agent Signature /
/ / A Date 9
f signed by Contractor type o license/registration & No: (�1 (�/ yt)c
*****************************************************************************
Building, Dopartrn,- nr rr.,,
Coinst.rueti on_ Value
Building Fee
Plumbing —___ ____—_—
Heating
Electrical — _____
Air Cond .
Other
Certificate of Occupancy
Plan Review —
Total
Cash/Check