HomeMy WebLinkAbout155 Abbe Road (16) a
PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 16 7
Application is hereby :
TOWN OF SOUTH WINDSOR
APPROVED SA OV BUILDING INSPECTION DEPT.
644-2511 Ext . 230
Application must be printed or typed .
Date Building Insp
1 . LOCATION OF JOB
�,6 �.��y Rt c1
FEE SCHEDULE No . Street
$ 0 - $1 , 000 - $10 . 00 Floor Apt . No.
Over $1 , 000 - $10 . 00
per $1 , 000 or 2 . OWNER
fraction thereof _
3 . ADDRESS / S $—
4 . APPLICANT
5 o ADDRESS GI'�'O ,sy`�,/yu L• �v�
$'v ,�-4 Z,/i V►�c,G.i d Y
6o ESTIMATED COST $ s y
7 . IS THIS A CONTRACT COST
Yes o
8 . FEE ENCLOSED $ 010 d
90 TYPE OF BUILDING : /7,?$
RESIDENTIAL COMMERCIAL
10 . TYPE OF JOB :
Original Installation
,l Alteration/Addition/Repair
x BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB f� A/h I„ A>c
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 . NOo 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 :
LICENSE NO . SIGNATURE OF PPLICANT DATE
PHONE NUMBER : (P�'-/f 0C� s