HomeMy WebLinkAbout101 Abbe Road Ext. (13) PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 11719
Application is hereby:
TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
' rra�nn 644-2511 Ext. 230
/Z 9l V/` --, Application must be printed or typed .
I5atLd Building Inspector
1. LOCATION OF JOB
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'40BE RID � YX
FEE SCHEDULE No . Street
$ 0 - $1 , 000 - $10.00 Floor Apt . No .
Over $1 , 000 - $10.00 r
2 . OWNER
per $1,000 or
fraction thereof
3 . ADDRESS
ri
4. APPLICANT
5 . ADDRESS 9Jd S 6)((yc.ti
6 . ESTIMATED COST
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $ ;epjyj)�)
9. TYPE OF BUILDING :
RESIDENTIAL COMMERCIAL
10 . TYPE OF JOB :
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Oi inal Installation
1
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB ��� , \� I`,, L` :s
NO . STREET APT . NO
12 . TYPE OF INSTALLATION POwa�
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 :
LICENSE NO. SIG ATURE OF APPLICANT DATE
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PHONE NUMBER: V c! C-/ 0/,��s--