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EP-512 Report Feepd $70 00 Owner Sandra Soarer Date 4-4-90 Address 6 SHingle Island Lane F tNo f 512 Contractor Charpentier Elec. e 9 gel Rea_7`� Address P.O. Box 488, Fairhaven, B 7 106 /Y 70 Remarks wire new dwelling, 100 amps, 120/240, oil heat range, dryer, water pump , washer dishwasher whirlpool tub w.c. le,tiL-e,e V Afe Inspected By: Date IN -- / Office Use Only The Commonwealth of Massachusetts Polak No: -I2 *-Sir. if/ Oavpancy&Fa Checked f' v Department of Public Safety (leave blank • BOARD OF FIRE PREVENTION REGULATIONS FPR•11, RULE 8 Effective 111f78 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cod , FPR-11 Date 413,0/ 5" 19 76. City or Town of ���� �" To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 6 Si Al 1/42,d 41-2/ Q Pole No. Owner or Tenant ' 1 Atfidd t'll s©f1'--S Owner's Address _..5i9e— Is this permit in conjunction with a building permit? 1----- Yes No Purpose of Building 4�S-l/i'n:40' Service /CV Amps iZD�Z vor Volts No.of Meters. / , Existing New Increased from to. Nature of the Proposed Electrical Work - PROPOSED FIXTURES IN DETAIL(See reverse schedule,if necessary) l.ornion of Room Light 5w,- Plugs Fin. Location of Room Light Sr. Plugs Fin. Cutlets _ °mina <.2��f9/l / / ��G/tf���� / r / t a/d/ A/ a / Dutia,ro Jig..-- - - - y_ -- / / a- / ,Gzih ` d? ,. / e2 • Ali/- 07 / f 9 ani �� • 3 e r 3 ///a is /�//6S�.cf .ace - ,/€ 7 c2 2 — C /s41s/s - No. of Sw. Out. Heal — Type,.� No. of Outlets U. Oil //or_../ Ad'74.../.Ay c. No. of Rec. Gas No. of Motors H.P. Electrical— KW Connected Load No. of Signs Trans. Hot Water— Motors and Slit • Air Cond. Steam—Motors and Size Range Name Plate Rate 1/...---- Hot Air— Motors and Size Water Heater Name Plate Rate Mix_ Clothes Dryer Name Plate Rate A- i_ ems 440t/ x _Total Load A- %J7S/�n Size of Main Entrance Sw. /?7-0 / /1/S!! e/Ft-SALT Size of S. E. Conductorsctto / 2 y/ . /- /� ��� - Work'to Start / .19.e€ . 7 Inspection Date Requested C // ' Permit Fee. Signed un�ddrrerr/the Penalties�j of Perjury: ` ,y_/� Licensee(YNJi4.P�1# '>!2 ���.Gc�/iN/G�/rG Signature. /.ate 4'f 'c t/v.6/�°TS/ �y/2 -3 f �ja IPwtn ... 29t �/ f' IPG,-,si ! License No. ^� Address A0e/-- lje Iki / /i-e-417 t,IX - Zr Tel.No...9l//6L,S-3 I Strad&Number) (City or Town) IZiP Co.? Supplemental information on forms furnished by the inspectors of wires shall be mailed or delivered by the applicant within five(5)working days from the date of said application, if required by the inspector of wires. BC-44 Over / dv: - r to x 4E I cn rea P. rn 4 EXISTING FIXTURES IN DETAIL Location of Room outletstqM lo S• P:u[a fin lore mn of Room � 5s P: a i F.a—_ o No. of Sw. Out. Heat — Type No. of Outlets Lt. Oil No. of Rec. Gas No. of Motors H.P. Electrical — KW Connected Load No. of Signs Trans. Hot Water — Motors and Size Air Cond. Steam — Motors and Size Range Name Plate Rate - Hot Air — Motors and Size Water Heater Name Plate Rate Misc. Clothes Dryer Name Plate Rate Total Load Size of Main Entrance Sw. - Size of S. E. Conductors 47' TOWN OF DARTMOUTH it: it WIRE DEPARTMENT aa . Date - '`t Name In Payment of Amount � A � aile(f 76 v O 1) j_ 7 ate..