HomeMy WebLinkAbout130 Benedict Drive (3) PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR
0 ED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
7'S'.1) AApplication must be printed or typed .
Date Buof1ding Inspector
1. LOCATION OF JOB
Iq0 B6k�lc-F
FEE SCHEDULE No . Street
$ 0 - $1,000 - $10.00 Floor Apt . No.
Over $1,000 - $10.00
per $1,000 or 2 . OWNER
16-gg q Kg-Q f
fraction thereof n
3. A
4. APPLICANT
5 . ADDRESS -
6 . ESTIMATED COST $ •�
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $ 10-a�
9. TYP OF BUILDING :
/RESIDENTIAL COMMERCIAL
10 . TYPE OF JOB :
Original Installation
_ ,kiteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB I-A-.- `�I0cr
NO . STREET APT. NO
12 . TYPE OF INSTALLATION jWK.-,(2_ �
13 . SIZE OF MAIN FEEDER AL-"A s L--t2
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 I 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 :
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LICENSE N0 . SIGN URE 0 AP-PLICANT DATE
PHONE NUMBER: Cam' '(�_�S
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Lot A111.
i
Building Permit
Temporary Service
Permanent Service
Pursuant to Permit No. ( �
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
Owner I" r Electrician
Street
Building Inspector