HomeMy WebLinkAbout191 Bourbon Street (14) PERMIT
DEPARTMENT nLCiSioN APPLICATION FOR ELECTRICAL PERMIT 3Q3s
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVE DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
Date'- Building Inspector Application must be printed or typed
1 . LOCATION OF JOB
�OZ12.gO/�/ r
FEE SCHEDULE No . Street
$ 0 - $10000 - $10.00 Floor Apt . No.
Over $1 ,000 - $10.00
p e r $1 ,0 0 0 or 2 . 0 WN E R_ 1/�. /�,pr,/%C4C XA/yob
fraction thereof
3. ADDRESS Z&
4. APPLICANT QWiyCEyZ
S. ADDRESS s, nEc-
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Yee
8. FEE ENCLOSED (e O, d!�:)
°a
9. TYPE OF BUIL NGs
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
R 0 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
li . LOCATION OF JOB 9l
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION iD�G
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 :
INC �. .:eC /27T 0z- AEG
LICENSE NO . �IGVNATURE F APPLICANT DATE
PHONE NUMBER: 6 I-IZ11- :!�L9 0