HomeMy WebLinkAbout11 Bittersweet Lane (9) PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 113 13
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
A PROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
D to B �gInspe-ctor Application must be printed or typed
1. LOCATION OF JOB
1( - 5--w,20-f-
FEE SCHEDULE o . Street
$ 0 - $10000 - $10.00 Floor Apt . No.
Over $1,000 - $10.00 2 . OWNER
per $1 ,000 or
fraction thereof �.
3. ADDRESS
4. APPLICANT 1`@✓►n C3Cc�nrtor OCc�cnerr' �'( �
S. ADDRESS 7U c Pets/ Lard L vLV
6. ESTIMATED COST
7 . IS THIS A CONTRACT COST
Y N
c70
8. FEE ENCLOSED $ /1:�
9. TYPE OF BUILDING: .221671)
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Origin 1 Installation
y Alteration/Addition/Repair
RD 3A I1/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB
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 . 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 :
LICENSE NO. SIGNATURE OF APPLICANT DATE
PHONE NUMBER: i-