HomeMy WebLinkAbout101 Abbe Road Ext. (9) PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR
APPROVED SAP BUILDING INSPECTION DEPT.
644-2511 Ext . 230
- Application must be printed or typed .
Date Building Insp
1 . LOCATION OF JOB
so/ ,Q& 3 r r O P D
Ncveaj i2,o&J a2
FEE SCHEDULE No . Street
$ 0 - $1 , 000 - $10.00 Floor Apt . No.
Over $1 ,000 - $10.00
per $1 ,000 or 2 • OWNER'j'Q�� p,� X6044,
fraction thereof
3 . ADDRESS St///i'ua P .14✓e
4. APPLICANT�r2I-XA r1ec-f]2
11
5 . ADDRESS 'Yoo C-40.p
6 . ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $ �— j'✓��►/�4 )
9 . TYPE OF BUILDING:
RESIDENTIAL />,- COMMERCIAL
10. TYPE OF JOB :
Original Installation
,"'�7 Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB K�cv PR S JZOa.d
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 :
7VI J e-c, t( Tt w. O a iL 6%4 S f 2 U I G{ Lal I74k J.Z / l° --16
LICENSE NO. SIGNAT RE OF APPLICANT DATE
PHONE NUMBER: -� &5 O rb —7