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Electrical - Remove Wiring and Re-Wire Wall 2004
Town of Montville BUILDING DEPARTMENT 310 Norwich-New London Turnpike Uncasville,CT 06382 (860)848-3030, Ext. 382 Electrical Permit Permit Number: E2004-0143 Date: 20-May-04 Map/Lot: 072/037-OOA Owner ID 116012 Job Location: 33 PEOUOT ROAD Unit Job Description: remove electric from wall-re-wire new wall Owner: Contractor: David Waddington Landers Electric LLC P.O. Box 879 66 Cross Road East Lyme Ct. 06333- Waterford CT 06385 Telephone: Lic/Reg Type/No. El 101452 Exp Date: 30-Sep-04 Tenant: Self Telephone: Construction Values Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: F-2 Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B Electrical Value: $200.00 Electrical Fee: $10.00 Permit Code: C5 Other Value: $0.00 Other Fee: $0.00 Comments: Total Value: $200.00 CO Fee: $0.00 Plan Review Fee: $0.00 State Ed Fee: $0.03 Total Fees: $10.03 It is the owners responsibility to schedule the following inspections(minimum 48 hours notice required): ❑ Footing- Prior to pouring concrete ❑ Rough HVAC ❑ Backfill-Footing drains and waterproofing ❑ Fireplace Throat ❑ Concrete Slab- Prior to pouring concrete ❑ Chimney-One flue above thimble ❑ Rough Framing ❑ Firestopping/draftstopping 0 Rough Electrical ❑ Insulation ❑ Electrical Service CRS#: 0 ❑ Final Inspection ❑ Rough plumbing and leak test ❑ Certificate of Occupany ❑ Gas piping and test Building Official's Signature: Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 848-3030,Ext 382 Uncasville, CT 06382 Fax. 848-7231 Application for Commercial Trades Permit Permit# EA7cq-- 0/q3 ❑Pfum6ing 0. 1echanica( ORS # .7feating Air Conditioning Gas Piping D Other Job Address 33 ?EQvof RaJ (Number) (Street) (Unit) Job Description w/4¢., SG4L /2c0,,,,, UJ( 5 deiJ/_'E jr /vieop Owner pai, ij 4 jtl— Mailing Address <i,4,,,u.c, City State Zip Tel Tenant Mailing Address City State Zip Tel Contractor /./.4,v6414,_<, Etienitib G-L-C. Mailing Address ib 3©X 87 City �,qs /,,,i,�t�, State c,1 Zip 0633W Tel Contractor's License Type&Number ,to i yS2 Exp.Date S- / / ?i / U y I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for a permit for such work as described above. Owner/Agent Signature Date c. / / p / D y Construction Value Fee Plumbing $ $ Mechanical $ $ Electrical Plan Review Fee $ State Education $ r Total $ $ pcicr. Town of Montville Building Department Field Inspection Notice Address: 33 Pequot Road Job Description: Additions Permit Numbers:B2004-0162 Footing Not Approved: Approved: Comments: 1. Backfill Not Approved: Approved: Comments: 1. Framing Not Approved: Approved: Comments: 1. Rough Electric Not Approved: Approved: Comments: 1. Electrical Service Not Approved: Approved: Comments: 1. Rough HVAC Not Approved: Approved: Comments: 1. Rough Plumbing Not Approved: Approved: Comments: 1. Gas Line Not Approved: Approved: Comments: 1. Fireplace Throat/ Not Approved: Approved: Chimney Comments: 1. Fire/Draftstopping Not Approved: Approved: Comments: 1. Insulation Not Approved: Approved: Comments: 1. Certificate of Not Approved: zS/oy Approved: Occupancy Comments: 1. op.� eL-« x ,, ,t, T-. aOe r �jC t _i____., Occupancy Not Approved: Approved: J Comments: 1. Not Approved: Approved: Comments: 1. Not Approved: Approved: Comments: 1. Comments: Page 1 of 1