HomeMy WebLinkAbout171 Bourbon Street (7) PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT � A
Application is hereby: '
APPROVED Zul
TOWN OF SOUTH WINDSOR]BUILDING INSPECTION DEPT.
644 -2311 Ext. 230Date g Inapec o
Applications must be printed or typed.
I. LOCATION OF JOB
l;/ /d2 .5
FEE SCHEDULE No. Street
_ Floor Apt. No.
$ 0 - $19000 - $10.00
Over $1,000 - $10.00 2. OWNER C 6 i2 EQ1e 14T/o n/ .moo�- �'ND�'Oc�•✓,c3 F�/
per $19 000 or L vi
fraction thereof 3. ADDRESS 3 "S p (Z .DR.J
4. APPLICANT__L� _iyr
5. ADDRESS_-6- 7 O �d S 7TC�
ACTUAL COST FEE $ 6. ESTIMATED COST $ 'O 0 0
ESTIMATED COST $i FEE $ 7. IS THIS A CONTPLACT COS ? 10 YES Q NO
FILE COMP. BY BALANCE $
8. FEE ENCLOSED $
9. ff'�`RESTDENTTAI,
OF BUI LDINO:
13 C0�►tERCIAL
10. TYPE (IF J«l):
XI G I NA L TERA'f ION
1VSTA1.1,ATT0N t1DDITIOh
REPAIR
APPLICATION FOR ELECTRICAL- Pff aff(Continued from icevarse Side)
11. LOCATION OF JOB / / o Ci /�Qo o f s- T
NO. STREET FLOOR APT. NO.
12. TYPE OF INSTALLATION
13. SIZE OF MAIN FEEDER
14. NO. OF LIGHT LOOPS — 15. NO. OF HEAT LOOPS 16. NO. OF P('i qRR LOOPS
17. NO. OF LIGHT OUTLETS :gO_ 18. NO. OF HEAT CIRCUITS 19. NO. OF POWER
20. N0. OF CONVENIENCE OUTLETS__qU1. NO. OF HEAT CIRCUITS_ 22. NO. OF POWER CIRCUITS`
23. NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25. NO. OF ;,IO:ORS
26. N0. OF PANELS / 27. TOTAL WATTAGE 28. N0. OF POWER PANELS
29. N0. OF SNITCHES a 30. A/C LOAD _ 31. SIZE OF POWER FEEDERS_
32. NO. OF FIXTURES 0 33. TOTAL HORSEPOWER _
34. NAMES OF SUBCONTRACTORS AND THEIR TRADES
35. REMARKS AND FURTHER DETAILS:
T/�" ` , 7rc-) a e
If
LICENSE;NO. SjmATURE OF APPLICANT Imaz
PHONE NUMBER: