HomeMy WebLinkAbout12 Gardenia Lane PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
I
� Application is hereby: TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
Application must be printed or typed .
i
Date BuIlding Inspector
I �
1. LOCATION OF J O B /G i�3i�D•t��9t?` / G�'
FEE SCHEDULE No. Street
$ 0 - $1,000 - $10. 00 Floor Apt . No.
Over $1,000 - $10.00
per $1 ,000 or 2 . OWNER
fraction thereof ff-- //
3. ADDRESS �?(�� G��3/� �G��.el
4. APPLICANTS/ 7P7rlc
5 . ADDRESS
Y
o�
6. ESTIMATED COST $
o THIS U 7 IS HI A CONTRACT COST�
Yes No
8 . FEE ENCLOSED $ /}
9. TYPE OF BUILDING :
y RESIDENTIAL COMMERCIAL
rn
� v
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF J O B �T�,F',��7!/1i4 �i9j✓
NO . STREET APT. NO
12 . TYPE OF INSTALLATION r-
13 . SIZE OF MAIN FEEDER --457r•4/.
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 / 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 :
LICENSE NO. SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
Lot No.
Building Permit GemfirC�i�.0
Temporary S rvice.,
Perm ervice
Pursuant to Permit No.
Thi i s that the Electrical Work for which the above named Permit was granted
has ly inspected and is hereby approved.
Ow Vag '" Electrician , w �
Stred 'f . ,
r
Building Inspector
r
PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT /-� ),00
Application is hereby :
TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext . 230
Application must be printed or typed .
Dat Building Inspector
1 . LOCATION OF JOB
FEE SCHEDULE No . Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $1 ,0 0 0 - $10 .0 0 2 .
per $1 ,000 or
fraction thereof
3 . ADDRESS �Q� 7--
r
4. APPLICANT G4 elo'0 y;'E-rA G�Tom'/C .Zi✓C
5 . ADDRESS �U• Bd.Y �OS6
,.. - 6 . ESTIMATED COST $
" 7 . IS THIS A CONTRACT COST l/
Yes No
' ^= 8 . FEE ENCLOSED $
' 9 . TYPE OF BUILDING:
SIDENTIAL COMMERCIAL
10 . TYPE OF JOB:
4--'6-r-'iginal Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB
NO . STREET APT. NO
12 . TYPE OF INSTALLATION
13 . SIZE OF MAIN FEEDER
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 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 :
LICENSE NO. SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
--7
Lot No.
Building Permit
Temporary-Service
Permanent Service
Pursuant to Permit No.
rtIfIes that the Electrical Work for which the above named Permit was granted
on duly Inspected and Is hereby approved.
Electrician
A J
r
Building Inspector