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Home My WebLink About103 Benedict Drive (6) PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE A-, 644-2511 Ext . 230 ate ding Inspector Application must be printed or typed 1 . LOCATION OF JOB bic T DRt Vr FEE SCHEDULE No . Street $ 0 - $10000 - $10.00 Floor Apt . No. Over $1 .000 - $10,00 ��AN L.�NrY �N'��'GZ�' per $1 .000 or 2. OWNER fraction thereof 3. ADDRESS (c)S h,:;-,AeA(a— 4. APPLICANT �CC�C S• ADDRESS y �C �� CUh�fi C1�� L' p�- 6. ESTIMATED COST $ 7 . IS THIS A CONTRACT COST B. FEE ENCLOSED $ lzot Y No 9. TYPE OF BUILDING s�J'� � DENTIAL COMMERCIAL 10. TYPE OF JOB: Original Installation � lteration/Addition/Repair AD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB �© J I �CCT P'�4u-e— 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 1 21. NO. OF HEAT CIRCUITS 22 . NO, OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS C1 24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS 26 . NO . OF PANELS l 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 r 34. NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : c, Fcc� VS-4-=;c ku DID k A5WN-T'�� C Kry c C � � 00 rN- +0 (00 LICENSE NO . SIGNATURE OF APPLICANT DATE PHONE NUMBER: rzq 7" 9q6L i we,-� INSPECTOR DATE �� TIME LOCATION /© 3 INSPECTION: CODE: RESULT(D/A) : BUILDING: g ELECTRICAL 1 PLUMBING: HVAC: 9- OTHER: �.Y.;ticy�",rt�1�',:.,;7,>FN.ri+�ia;Yank,...rT�G M^:,i'„r:.�M'L�,i�1�.xJw..+...'A+1�'�a,,;tJ�,;.w.a;mn'i.��zn.r:a:+.v%:7:.:.'Yi•.:��:+�.�;.t+.urdl.ini:w:.aM^iw'c��ylw'W��n,k��Aw�"T,C�.c'tw`:::��,";»r.�."'�ry,�•�.,f,r,�.