HomeMy WebLinkAbout129 Farmstead Drive PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT �� l
Application is hereby :
TOWN OF SOUTH WINDSOR
PPROVED DISAPPROV D BUILDING INSPECTION DEPT.
644-2511 Ext . 230
Application must be printed or typed .
Date Building Inspector
1 . LOCATION OF JOB
FEE SCHEDULE No . Street
$ 0 - $19000 - $10. 00 Floor Apt. No .
Over $1 ,000 - $10.00 �, '
per $1 ,000 or 2 . OWNER
fraction thereof Aa
3. ADDRESS
4. APPLICANT i
5 . ADDRESS
6�2
6 . EST MATED COST $ �"-D D ► 0
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $
9 . TYPE OF BUILDING:
SIDENTIAL COMMERCIAL
10 . TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
BD 3A 11/88
Y+
I
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB lag
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 : r
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c� O
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LICENSE NO . SIGNATURE OF APPLICANT DATE
PHONE NUMBER: D
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Lot No.
Building Permit
Temporary Service
Permanent Service
Pursuant to Permit No. v
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is ereby approved.
Owner C-(-I i^�/�!-� r`�� Electrician C 6f'�cY I
r�
Street I ��r r'� .�� �C a
19 &
Building Inspector
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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92-12317-E 500
E01 SERVICE 08/31/92 003 A RELEASE ISSUED OK
Total Est Value 500