HomeMy WebLinkAbout101 Abbe Road Ext. (19) PERMIT a
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 83
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT .
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
7-/e-�� 644-2511 Ext . 230
Date �pector Application must be printed or typed
1 . LOCATION OF JOB
6 / • ,�fcT
FEE SCHEDULE No . S reet
$ 0 — $1 .000 — $10.00 Floor Apt . No .
Over $1 ,000 — $10.00 '
p e r $1 �000 o r 2 . ONN ER �J C'1= �.1T 1-1
fraction thereof
3. ADDRESS
4 , APPLICAN A/1G/,we:z
5 , ADDRESS
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6. ESTIMATED COST $ 0� r�i7�d^�
7 . IS THIS A CONTRACT COST /
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•� Yea No
B . FEE ENCLOSED $ WRY
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9 . TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installati n
Alteration/Additi n/Repair
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RO 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB I-al 4AAU-,;' WT--� ,
NO. TREE APT. N0 ,
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 :
SoToC _
Z17 �s �
LICENSE NO . SIGNATURE OF APPLI ANT DATE
PHONE NUMBER: S a-3
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INSPECTOR
DATE TIME
LOCATION G
ry
CODE: !RESVLT(R/A) :
INSPECTION:
BUILDING:
ELECTRICAL: = U-
PLUMBING:
HVAC:
OTHER:
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