17C-015 (6) Edward A Tewhill
Gctober 210 1980
Mr, Stopbs- "'Connor
57 Lake Street
Yloveme, Ia. 0106f,e
bear Mr. O'Commy:
ke note that you s in o4v progress of construntirg.
an WOW *a yout Wrting 400109 at At ObOvt
address.
our records AN tam indicate that YOJ have been
issued a building permiL by this WALa.
At your earliest couveniencel pleasm onLaN one
this office.
viavelviy:
Edword �, W&Lvi
ASHISTANT K L�A.% w.00TUR
F:
1
Office Use Only
Permit No.
lug Occupancy k Fee Checked
yutli r Awl g�1Yu&O (leave blank
BOARD OF FIRE PREVENTION REGULATIONS FrR-11, RULE a Effective 1/1/78
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, PPR-11
Date 19, L
City or Town of
To the Inspector of Wires: The undersigned applies for a p t to perform the electrical work described below.
Location (Street & ) � / Pole No.
Owner or Teasnt
owner'a Address
Is this permit in conjunction with a building permit? Yea No
Purpose of Huil�i±+�_'
Service `O O Amps Volta No. of Note"
Existing New Increased from____,_,to
Nature of the Proposed Electrical Worlc -�ir,.�� � o C
PROPOSED FIXTURES IN DETAIL (See attached schedule, if necessary)
Location of Rood Outlets Sw. Plugs Fiat Location of Room Outlets Sw. Plugs Fixt.
No. of Sw. Out. lHeat - Type
of Outlets Lt Oil
No. of Rec. I Gas
No. of Motors H,P. Electric - KW Connected Load
No. of Si=s Trans. Hot Water - Motors and Size
Air Cond. Steam Motors and Size
Range Name pla Hot Air Motors and Size
Water Heater N late rate Misc. _
Clothes Dryer Name plate rate
Total Load
ize of Main Entrance Sw.
Size of S. E Conductors
Work to Start Inapection Date Requested Permit Fee
Signed under the Pefiiffties of Perjury: _
Licensee d L°17 � rsP U c7P signaturef�;::—�� License No.
(�f yyPF�leaee print e sign)
Address �l / 040 Tel. No.
Street & Number) City or Town) (Zip Code)
Supplemental inforrsation on forme furnished by the inspectors of wires shall be mailed or delivered by the awlicaat
within five (5) working days from the date of said application, if required by the inspector of wires.
ITYOFNOATHAAAPTON ELECTRICAL PERMIT
212 MAIN STREET DATE ` �
NORTHAMPTON,MA.01080
TELEPHONE 584-3503 PERMIT NUMB '�c�''� '
CONTRACTORS LICENSE NO.
LOCATION
OWNER
KIND OF BUILDING USED AS
TO BE COMPLETED ABOUT ESTIMATED COST$
NEW — ALTERATION — REPAIR — ADDITION (Circle One)
ITEM NUMBER FEE
CEILING OUTLETS
SWITCHES T f
PLUG RECEPTACLES
TOTAL OUTLETS
AIR HEATERS
RANGES
SIGNS
WATER HEATER
LIGHTING CIRC.
OTHER CIR.
TOTAL CIRCUITS
MOTORS
PANEL SIZE
RANGE COND.
SUB FEEDER SIZE
TOTAL FEE
CONTRACTOR'S NAME AND ADDRESS
CITY z� STATE ZIP CODE
READY FOR INSPECTION ON OR WILL CONTACT PERMIT CLERK LATER
(date)
APPLICANT CER(IF1ES THAT ALL INFORMATION GIVEN IS CORRECT AND THAT ALL PERTINENT
ELECTRICAL ORDINANCES WILL BE COMPLIED WITH IN PERFORMING THE WORK FOR WHICH THIS
PERMIT IS ISSUED.
re Inspector V'