HomeMy WebLinkAbout121 Bourbon Street (12) PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby :
TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext . 230
W Application must be printed or typed .
Date B lding Inspector
1 . LOCATION OF JOB
— J"2 j R I O'n
FEE SCHEDULE No . Street
$ 0 - $12000 - $10. 00 Floor Apt . No .
Over $1 ,000 - $10. 00
per $1 ,000 or 2 . OWNER Pn /'7��/� tip
fraction thereof
3. ADDRESS-_ /
(3
4 . APPLICANT .�~ -CA
5 . ADDRESS 7
1 )e Y-A70
6 . ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $
9 . TYPE OF BUILDING;
,X RESIDENTIAL COMMERCIAL
10 . TYPE OF JOB :
_XOriginal Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB /Q/ e U 1")Q� S j
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
30o 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 . Z/I
ATURE OF APPLICANT DATE
PHONE NUMBER: 7QQ 3 �,