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TOWN OF MONTVILLE
BUILDING DEPARTMENT
310 NORWICH-NEW LONDON TPKE.
UNCASVILLE, CONNECTICUT 06382
Electrical Permit TeL 860-848-7166 Fax 860-848-7231 Page: 1
Permit Number: EL1999-134 Printed: 8/18/99
Approved:
Applicant: Landers' Bros Electric Zoning:
, P.O.Box 879 Addition:
East Lyme, Ct 06333 Block:028 Lot(s): 005-018
Parcel Number: PARC1999-417 Section:
3 Pheasant Run 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
FEE1999-1412 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
Building Officials Signature Date
Town of Montville
Building Department
310 Norwich-New London Tpke. , Uncasville, Ct . 06382 Tel .
********************�r�t� **************************************************
APPLICATION FOR
FOR BUILDING PERMIT OR TRADES PERMIT, Please fill out completely
Owner : gin (> °mPletely
�a5 e0a Mailing Address : PCS x 3069,3
City: __11 /Z �e -3 /l
State: C- / Zip Code V Tel :a( . v-smay,
Job Location: ��/� __
Map/Block/Lot : da /
Contractor : ---_
-�j72/C L.LC.Mai l i ng Address : yU
City : _EPIS� L �m � State: C
********************************************F**ode: GYo ** 5 5 y
Te1_ -
Stick Built : *****************************
Modular Home : Manufactured Home:
Commercial :
Addition : Garage : Car Port :
Shed : Remodeling : Roofing :ng : _
Siding : _ Fireplace : Chimney : Windows : Pool : Demolition:
Plumbing : Heating : Electrical : it Conditioning : Gas :
Patio: _ Porch: Deck :
Retaining Wall : _yew : Repair/ue
Placement :
Job Dlscri pti^n ri Mat ��
/ e_ _a1s used : /ULL,L)
�--- lU I
Type of Heat : __ b\` Fireplace:
Jo. of Stories
No . Rooms :
Bree_ _ ,:ay :
lo. Baths : —
Garage :
I hereby certify that the proposed d iiork will conform to the
Code and all other Codes as ado rAectic
:he Town of Montville and further attest
G by the State of Connecticut, and
est that the proposed work is authorized
to �w Y?, f3E ardi mai. I am authorize to make a
or such work as described above. PPllcation for a permit
wner/Agent Signature
•� � -1� / Date
f signed by Contractor , type /
**signed by Contractor ,
of 1 cense/registration & No:
g************************************l ** ********
Building Departm of
Cosstruc+ o11 �i_alue
Building Fee
Plumbing —__ ___
Heating
Electrical
Air Cond .
Other ---- _
Certificate of Occupancy _
Plan Review
Total
Cash/Chec3: