HomeMy WebLinkAbout0 Bissell Court PERMIT #
{ DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT J/Q T
Application is hereby:
TOWN OF SOUTH WINDSOR
PROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
Application must be printed or typed.
Date Bu ding Inspector
1. LOCATION OF JOB
amiss �� c-ocloe- 7
FEE SCHEDULE No . Street
C�ir/7"��• ,�S�14�� NEXT Td �a��
$ 0 - $19000 - $10.00 Floor Apt , No.
Over $19000 - $10.00 2 . OWNER
p e r $1 ,0 0 0 or
fo N,(`
fraction thereof
3. ADDRESS/ ®�
4. APPLICANT Z. -r z<; , `c. e��
5 . ADDRESS —4-76 �'OJ-7-El-t- Ste_
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Ye-sp No
8. FEE ENCLOSED $ Al"oa (
9. TYPE OF BUILDING:
XESIDENTIAL COMMERCIAL
10. 7or
, OF JOB :
iginal Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB /?1.�����
NO . STREET APT. NO
12 . TYPE OF INSTALLATION
13 . SIZE OF MAIN FEEDER - a
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 :
411 ae
/'a 7
LICENSE NO. SIGNATURE OF APPLICANT DATE
PHONE NUMBER: 6 y�1-3e-7 6
--- -. - ,-•----r..._-• ..
Lot No.
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[- - S'::.�� Electrician�''> l` -r�` �C
Street 4i
f- •r
;- Building Inspector
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