HomeMy WebLinkAbout101 Abbe Road Ext. (15) PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby :
TOWN OF SOUTH WINDSOR
APPROV DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext . 230
Application must be printed or typed ,
f)atte Building Inspector
1 . L CATION OF JOB
(Jb ��JW►^ ParL)n i_ tcty-1 _
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
4. APPLICANT !R/ JW [ F,t'4MeA EZ v.
5 . ADDRESS 3-_
6. ESTIMATED COST $ ,jOO . OD
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $ yd
9 . TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
`Original Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB
NO . REET 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 :
/0 �(5Y 6 5� -
LICENSE NO . SIGNATURE OF APPLICANT DATE
PHONE NUMBER: 28z- l pZZ