HomeMy WebLinkAbout101 Abbe Road Ext. (18) _ PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
�� 644-2511 Ext . 230
APPROVED
Building Inspector Application must be printed or typed
1 . LOCATION OF JOB
FEE SCHEDULE No . Street
$ 0 - $1 ,000 - $10.00 Floor Apt . No.
Over $1,000 - $10.00
per $1 ,000 or 2 . OWNER � , r
fraction thereof �yL
3. ADDRESS SQLL(vrcr,'
4 . APPLICANT
5 . ADDRESSS,
a[�
6. ESTIMATED COST
7 . IS THIS A CONTRACT COST
Yee No
8 . FEE ENCLOSED $ f}«Jls.'t7
9 . TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
l�0-riginal Installation
Alteration/Addition/Repair
Rn 1A 11i88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB 1
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 . NOo 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 . SIGNATURE OF ACPPLIC T DATE
PHONE NUMBER: *� p �� —��-4-�3�
INSPECTOR , � `\ DATE �s TIME
LOCATION AV
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INSPECTION: CODE: RESULT(D/A) :
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ELECTRICAL:
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OTHER:
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