HomeMy WebLinkAbout14 Abar Lane (12) PERMIT #
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DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR i
APPROVED DISAPPROVED BUILDING INSPECTION DEPT. I
I 644 -2-11 Ext. 230 i
I 2 ,Z -&S V az_
Date Building Inspector Applications must be printed or typed.
1. LOCATION OF JOB
�u\ IcLa.r
FEE SCHEDULE No. Street
Floor Apt. No.
$ 0 - $1,000 - $10.00 *,
Over $1,000 - 2. OWNER �0_t-t-V � �j�vC�'1 � �1 Y1t01�
$10.00
per $1,000 or 3. ADDRESS \ck, I-ay Q —
fraction thereof
1 4. APPLICANT i
5. ADDRESS_____ _
` ACTUAL COST $ FEE $ 6. ESTIMATED COST
ESTIMATED COST $- FEE $ 7. IS THIS A CONTP..ACr COST? L7 YES NO
FILE COMP. BY BALANCE $ 8. FEE ENCLOSED
9. TYPE OF BUI LDINC:
C3 Rt:SIDE�iTlAi. CO�tERCIAL
10. TYPE M., J0011:
0;QGI.\:,T, ALTERATION
INS'TALT 4TT0% Q ADDITION i
REPAIR
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APPLICATION FOR ELECTRtCAI- Pf-rRarr(Continued tcom i:evarse Siue)
11. LOCATION OF JOB 1 y pa Cx1nfZ
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 P0i.,-F,R LOOPS
17. NO. OF LIGHT OUTLETS 18. NO. OF HEAT CIRCUITS 19. NO. OF POWER OUTLL':'S
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 PAN1iLS
29. NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS
32. NO. OF FIXTURES 33. TOTAL HORSEPOWER
34. NAMES OF SUBCONTRACTORS AND THEIR TRADES _
35. REMARKS AND FURTHER DETAILS:
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LICENSE. NO. S E OF P CANNT -- D.-tiE
PHONE NUMBER: