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APPLICATION FOR PERMIT TO INSTALL AND REQUEST
FOR ELECTRICAL SEMIICECP !
Inspector of Wires a Q Wiring Permit # �Y7
COM/Electric #. 322,622
�� 6 Massachusetts , Building Pe it # Date��Z"Z�2e Town of �-C'll f e.- ✓ s
Customer:G' M®7�;<y �?> �1X e r-Si� _on (Street #) i� e.
Lot # Z' in t illlaaige,of r utilitypole number or underground numhe
157
s
CuIstomer's billing address '�/• �� v Z2��{✓
Temporary � / s New installation Change,of service Starting date
Job description
Service entrance voltage Z0 z Amperage_/O6 Phasein'A26&
Wire size (cu.or al.) ZConductor per phase
Number-of meters Water heater—Off peak: Yes—No— '
Estimated load%Electric heat kw, lights kw,.Range .dryer'_ Motors, H.P.& Phase `
Ready for first inspection Ready fo final i specfon
Electrical Contractor ic. # 7i - Telephone # 77-1- 42 X
Address 4e FA
Additional Remarks:
I
f Do Not Write Below This Line
ELECTRICAL WIRING INSPECTION CERTIFICATE
INSPECTOR OF WIRES
INSPECTIONS DATE FEE CHARGE
Temporary Service
Roughing in ✓
Service and Meter
i
Off Peak Meter
b/ Final Approval
Disapproved' 771
'For the following reasons 2 �sya l�e•�? ^,r 4f y2 -' ' e!� ' 6&zT �vrgnnfe
CERTIFICATE OF INSPECTION
Date d
To the COMMONWEALTH ELECTRIC COMPANY. The installation described above has been completed and has this day beeh inspect and approval
granted for connection to your service
Inspector of Wires
,WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR-INSPECTION
Permit Good For One Year From Date Of Issue
CA 46
INSPECTOR'S NOTICE