HomeMy WebLinkAbout100 Bidwell Road (30) PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT A220
Application is hereby:
TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION D EPT.
644-2511 Ext. 230
ae Building Inspector
Application must be printed or typed.
1 . LOCATION OF JOB
//-.�0 ell-
FEE SCHEDULE No . Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $1,000 - $10.00
per $1 ,000 or 2 . OWNER �ti�����
fraction thereof /00
3 . ADDRESS
S
4. A P P L I C AN T��YnCcG ,�- ,e A,
5 . ADDRESS �j9 � Nn�ems- �T
6 . ESTIMATED COST $ Q, oZ�
7 . IS THIS A CONTRACT COST
Ye -No
8 . FEE ENCLOSED $
9 . TYPE OF BUILDING:
�
RESIDENTIAL __c 6MMERCIAL
10 . TYPE OF JOB :
Original Installation
teration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB d rye
N STREET APT. NO
12 . TYPE OF INSTALLATION j
13 . SIZE OF MAIN FEEDER ?vs
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 :
-e S 22 4"eZL/
16�� � S2,na c 91Q��L S" 96
LICENSE NO. SIGNATURE OF APPLICANT DATE
PHONE NUMBER: �/ 025(0- -)Is