HomeMy WebLinkAbout186 Brook Street (8) PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT w f)l
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPRO D 1540 SULLIVAN AVENUE
644-2511 Ext. 230
2 ro
Date B ding Inspector Application must be printed or typed
1 . LOCATION OF JOB
&cr)& 5
FEE SCHEDULE No . Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $19000 - $10.00
per $1 ,000 or 2 . OWNER
fraction thereof
3. ADDRESS Tr
�50 7 Cyt,
4. APPLICANT /ri,AJ
5. ADDRESS fo Ash'
1&44.2 e-j 4.2 �T� Cal G
t
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST A000' _
Yee No
6. FEE ENCLOSED $
9. TYPE OF BUILDING :
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
70<�Alteration/Addition/Repair
Rn 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB i �&/ zkoc!-1 �cl '-
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
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 :
z � I ?A'�2
LICENSE NO. SIGNATURE OF APPLICANT DATE
PHONE NUMBER: 9w7d—t�7,,�- P
-INSPECTOR G DATE 3 TIME
LOCATION ` 8�0 �*W c s\ -
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL:
VON MrfTr-e- 1 i el4cE 0
PLUMBING:
HVAC:
OTHER: