HomeMy WebLinkAbout10 Abbe Road (4) PERTIIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
I/
at ding Inspector Application must be printed or typed
1. LOCATION OF JOB
No . Street
FEE SCHEDULE
Floor Apt . No.
$ 0 - $1,000 - $10.00
Ov r $1,000 - $10 .00 2 . OWNER�,��/i1e GZAVAAkO > >P041
per $1 ,000 or ,�
fraction thereof 3. ADDRESS l/ f C��,
4. APPLICANTv��!lJicl� /rnT�c��'�G
5 . ADDRESS /7 fek '
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST
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8 . FEE ENCLOSED $
9 . TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
-zoriginal Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB /Q �j.fju 16?
NO . SAREET 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 LOOPSZ6 17 . NO. OF LIGHT OUTLETS c9?
18 . NO. OF HEAT CIRCUITS 19. NO . OF POWER OUTLET S_
20 . NO. OF CONVENIENCE OUTLETS Pd 21. NO . OF HEAT CIRCUITS
22 . NO. OF POWER CIRCUITS_6 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 _AVe_ l%
32. NO. OF FIXTURES 33. TOTAL HORSEPOWER
34. NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
/lLL!�2 -lo��r/
LICENSE NO. SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
INSPECTOR I- DATE (4 TIME
k LOCATION
(D/A)
INSPECTION: CODE
BUILDING:
Z h
ELECTRICAL:
t PLUMBING: -
HVAC: -
OTHER:
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