HomeMy WebLinkAbout111 Birch Hill Drive (12) PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
APPROVED DI PR E BUILDING INSPECTION DEPT.
644-2511 Ext. 230
Application must be printed or typed .
Date Building In ctor
1. LOCATION OF JOB
zi/ 2erc-l lit 1/ D)',
FEE SCHEDULE No . Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $1 ,000 - $10.00 2 . OWNER
per $1,000 or
fraction thereof i
3. ADDRESS JAL(
4. APPLICANT
5 . ADDRESS 3F Cry -ST
yy- "J&A CT 061(o
6. ESTIMATED COST $ 3 SCE , o
7 . IS THIS A CONTRACT COST
Yes No\
8 . FEE ENCLOSED ,4A 4 A9
/S 5
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration Add itio Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB <<N
NO . STREET APT. NO
12 . TYPE OF INSTALLATION an SP�f' ��
13 . SIZE OF MAIN FEEDERZ
14 . NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16. NO. OF POWER LOOPS r 17 . NO. OF LIGHT OUTLETS_
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
20. NO. OF CONVENIENCE OUTLETS g 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 2cro
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 :
Jon 1c
LICENSE NO. /SIGNA'ltRE OF APPLICANT DATE
PHONE NUMBER: 9 3 - Iv?