HomeMy WebLinkAbout128 Troy Road PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
a e Bui Inspector Application must be printed or typed
1 . LOCATION OF JOB
11$ Tlw ,2okl,")
FEE SCHEDULE No . Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $1,000 - $10.00 2 . OWN ERIJ/ SIJE - 4-#6
per $1 ,000 or
fraction thereof
3. ADDRESS/ Z�
4, APPLICANT
5. ADD R E S S�e// / �'��i l2
SO u Tip I-AJ y 64)7
6, ESTIMATED COST $ S®D QO
7. IS THIS A CONTRACT COST
(+D No
8. FEE ENCLOSED $ A),, d lS
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB / Z- T1?p l2ax- D� I f,Jjr��45 -7—
NO 9TREET APT. NO ,
r
12 . TYPE OF INSTALLATION iZ61-Lzjd e)L% I-PA 56a0lelt!F
13 . SIZE OF MAIN FEEDER S 41&Al doA-)b(e/oje!5 SC# 4VO TL/�YL'b �yC `
14 . NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16 . NO. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS
22 . NO. OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS_
26 . NO. OF PANELS j 27 . TOTAL WATTAGE
28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES_
30. A/C LOAD 31. SIZE OF POWER FEEDERS_
32. NO . OF FIXTURES 33. TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
�►` 30G*)<6� 2-6
LICENSE NO. SIGNATURE OF APPL CANT DATE
PHONE NUMBER z�3
f INSPECTOR T DA E 7 TIME
R LOCATION oe� �f G y
INSPECTION: CODE: RESULT(D/A) :
1
BUILDING:
ELECTRICAL:
J
PLUMBING:
r
HVAC:
OTHER:
F-
1
I