HomeMy WebLinkAbout101 Abbe Road Ext. (14) PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby :
TOWN OF SOUTH WINDSOR
APPROVE DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext . 230
<I Application must be printed or typed .
' Date Building Inspector
1. LOCATION OF JOB
FEE SCHEDULE No . 1— Street
$ 0 - $1, 000 - $10.00 Floor Apt . No .
Over $1 ,000 - $10 .00 2 . OWNER j evtfl�l Jf' �� tYi�I�S�%
per $1 ,000 or
fraction thereof 3. ADDRESS /,SVU Sc-tLL/ Y/9A-1 fare
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4 . APPLICANT �C} gQ,Q tn:rrw%F�
5 . ADDRESS 4w Cfeeg- --p . - 3
CCLJnSD�- l= t 7 0(ed-74- r \
6 . ESTIMATED COST
7o IS THIS A CONTRACT COST
Y1e s No
8 . FEE ENCLOSED $ 5tOCi- 1V,L D
9 . TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10 . TYPE OF JOB :
�'riginal Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB —` S ,� t t G( - �j)
�
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 :
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LICENSE NO. SIGNATURE OF APPCL CA T DATE
PHONE NUMBER: 29Z-Irzz.-,