HomeMy WebLinkAbout125 Bidwell Road (5) PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 4
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
a e =ig Inspector Application must be printed or typed
1 . LOCATION OF JOB
44� las
L;j&' a;0 tj,;2;_(� /2.-;,
FEE SCIIEDULE o • Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $1 ,000 - $10.00 2 . OWNER Cc013 f sf�'st.,
per $1 ,000 or �A ��
fraction thereof /
3. ADDRESS
-- zFwin�sK,1
4, APPLICANT ,�cs,•>�� ( iL c./�.�J t'
5. ADDRESS ,2� L
6. ESTIMATED COST $ ��^ v u
7 . IS THIS A CONTRACT COST k
Yes Z
8. FEE ENCLOSED $ �� �� }
ZP5
9. TYPE OF BUILDING:
RESIDENTIAL �CCOMMERCIAL
10. TYPE OF JOB:
k Original Installati n
Alteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB y S, 0 U'r (( -'z 0
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 . N0. 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 :
W J� ✓y Q► W L.J lJ �� (✓ UrZ./\c T _l ��• •l7 �¢ �t �-J
a
LICENSE NO. SIGNATURE OF PPLICANT DATE
PHONE NUMBER: 9')r6 -- � Z t- 0
q'
INSPECTOR DATE I1 �!J TIME
.fi LOCATION .N
INSPECTION: CODE: RESULT(D/A) :
t
BUILDING:
I
ELECTRICAL: - f
f
PLUMBING:
HVAC:
OTHER: - -