HomeMy WebLinkAbout11 Bridlewood Road (7) PERMIT J10
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 13 5`�
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
'16ate i ng Inspector Application must be printed or typed
1 . LOCATION OF JOB
j1 7)eI d4c,Cj orz.- I
FEE $CIIEDULE No . Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $1,000 - $10.00
2 . OWNER
per $1 ,000 or J1�"1 A- v�-h arm g
fraction thereof nn
3. ADDRESS � � �(ZIrX�e W�a ry
SLit M JA,
4. APPLICANT glus3j, ja tc..
S. ADDRESS jio ej st,
c.�,j.
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST(11
Yes No
8. FEE ENCLOSED $ 1(/`CO
9. TYPE OF BUILDING :
RESIDENTIAL COMHERCIAL
10. TYPE OF JOB :
`-�riginal Installation
Alteration/Addition/Repair
R n 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB Z� Prz tc-^O-(-'- cfvC,of pr(
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION wIV( f� ✓- Ou
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 :
71,e), Y ��
LICENSE NO. SIGNATURE OF APPLICANT DATE
PHONE NUMBER: 6 �- k "? S--� Z