HomeMy WebLinkAbout11 Bittersweet Lane (2) PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED
_. 644-2511 Ext . 230
Application must be printed or typed .
Date Bu ' lding Inspector
1. LOCATION OF JOB
/"/ ///T�L`�SLc/��T �i�f✓�
FEE SCHEDULE No . Street
$ 0 - $19000 - $10.00 Floor Apt . No .
Over $19000 - $10.00
per $1 ,000 or 2 . OWNER
fraction thereof 7 � �� Al
3. A D D R E S S ,.lp .a✓.e/
4 . APPLICANT ,,
5 . ADDRESS e c,r, -2�9
6 . ESTIMATED COST $ 7C�
7 . IS THIS A CONTRACT COST
Yes . No 7 _
8 . FEE ENCLOSED $ �d•C) '
9 . TYPE F BUILDING:
ESIDENTIAL COMMERCIAL
10. TYPES�OF JOB :
L-0 riginal Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB // /y�����
NO . STREET APT. NO
12 . TYPE OF INSTALLATION /�� �iyJ� �S��c y�� l �i� 70 �U
13 . SIZE OF MAIN FEEDER _..S'�-r!',
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 1�
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 :
LICENSE NO. % SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
-7 7-- -
Lot°Nq�
Building Permit )J C-
Temporary Service
Permanent Service
Pursuant to Permit No. 12,22-1
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly Inspected and Is hereby approved.
Owner i Electrician—
Street-j/-
Building Inspector