HomeMy WebLinkAbout155 Abbe Road (19) PERMIT 8
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT /'3���
Application is hereby : TOWN OF SOUTH WINDSOR '
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
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Da a ng Inspector Application must be printed or typed
1 . LOCATION OF JOB
FEE SCHEDULE No . Street
$ 0 - $1 ,000 - $10.00 Floor Apte No .
Over $1 ,000 - $10.00
per $1 ,000 or 2 . OWNER �M,*Z.Z.
fraction thereof
3. ADDRESS dec'iyql
4. APPLICANT_ Do/y,.,,v/-C
5. ADDRESS
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6. ESTIMATED COST $ 1200 /
7 . IS THIS A CONTRACT COST
Yee No
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S . FEE ENCLOSED $ D
9 . TYPE OF BUILDING%
-RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
Alteration/Addition/Repp it
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB kit Acllyd
NO. STREET APT. N0 ,
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 : L
GI `] A00 D Lp (yC•d j' Jp CA@ � — C tf Ri/ 6
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LICE. SE NO. SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
Ii4SPECTOR DATE 2 •� TIME
LOCATION
INSPECTION: CODE: RESULT(D/A) : K
BUILDING: t.
ELECTRICAL: 2 �l
f
-PLUMBING:
HVAC:
, OTHER: