HomeMy WebLinkAbout115 Benedict Drive (5) PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
(APPROVE�ISAPPROVED BUILDING INSPECTION D EPT.
644-2511 Ext . 230
Application must be printed or typed.
Date B lding Inspector
1. LOCATION OF JOB
((5- 2L:tAjtC;C-
FEE SCHEDULE No. Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $1 ,000 - $10.00 (,,r.
per $1 ,000 or 2 . OWNER
fraction thereof
3. ADDRESS
4. APPLICANT
5 . ADDRESS 90- CP`�
6 . ESTIMATED COST $ •C'�
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $ �0.00
9. TYPE OF BUILDING:
PR-'ESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB III cT-
NO. STREET APT. NO
12 . TYPE OF INSTALLATION TS?6ttC,6a W4- -94tSl(j , 13oKC�_
13 . SIZE OF MAIN FEEDER ` tI
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 2-- 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 :
ISA -To
Trevq1 k4 e-t1 11W a t sil t"A LA kK- .
LICENSE NO. ZNESNUMBER:
IGNATURE OF A PLICANT DATE
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Lot No.
Building Permit '
Temporary Service
Permanent Service
Pursuant to Permit No. 1 i 'i l
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
Owner Electrician
Street , r ✓'� r r ✓� .�' 1
19�
!, Building Inspector