HomeMy WebLinkAbout185 Brook Street (9) PERMIT
DEPART1HENT DECISION APPLICATION FOR ELECTRICAL PERMYT
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Application is Immeby:
TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED HUILDl'NV INSPECTION DEPT.
Z� 6 644-2311 Ext. 230
Date Butlifing Inspector
Applications must be printed or typed.
1. LOCATION OF JOB
/3 IV S' 7T
FEE SCHKOULE No. Street
Floor Apt. No.
S 0 . - $10000 - $10.00
Over + -$1 000 2• OWNER S���/o ILI �� �/A'1 ! r1l
�1�.00 l
per 19000 or 3. ADDRESS 7-
fraction thereof
9 /91oX O 6a 7S
4. APPLICANT / A" L G -T 'e,
5. ADDRESS `� 3 i C L- Ng T'o
GG
ACTgAL COST $ FEE $_ 6. ESTIMATED COST S v o
ESTIMATED COST $ FEE $ 7. IS THIS A CONTRACT COST? 'mriES- 01 010
FILE COMP. -BY BALANCE $ 8. FEE ENCLOSED -�_Je,�4
9. OF BUILDUC:
RRESIDENTIAT.
C1 COPWRCIAL
10. TYPE OF J013:
ORIG t NAT• �TERATION
.. INSTALLAT Too ADDITION
REPAIR
APPLICATION FOR ELECTRICAL. PESSTr(Continued tram Keverse Side)
11. LOCATION OF JOBS ' S Rao A/ 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 POWER LOOPS_
17. NO, OF LIGHT OUTLETS v_ 18. `0. OF HEAT CIRCUITS , 19. N0. OB PowER UurrIX.S._
20. N0. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22. NO. OF POWER CIRCUITS_
23. NO. OF LIGHT CIRCUITS z_ 24. SIZE OF HEAT CIRCUITS 25. N0. OF i=ORS
26. 110. OF PANELS 27. TOTAL WATTAGE 340,0 28. NO, OF POW11
29. NO. OF SWITCHES 7 30. A/C LOAD 31. SIM OF POVIM FEEDERS
32; NO. OF FIXTURES C 33. TOTAL HORSEPOWER
34. NAM OF SUBCONTRACTORS AND THEIR TRADES
35. REMARKS AND FURTHER DETAILS:
LICENSE)NO. SIGNATURE OF APPLICAnT DATE
PHONE WMER s `2 G
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