HomeMy WebLinkAbout101 Abbe Road Ext. (20) PERMIT U
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DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
WfAK,
644-2511 Ext . 230
Date lding Inspector Application must be printed or typed
1 . LOCATION OF JOB /O/ 9441-(?p MeAk4.e P-dL PAIL4
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FEE SCt1EDULE No . I Street
$ 0 - $1 .000 - $10.00 Floor Apt . No.
Over $1 .0 0 0 - $10 .0 0 2 . OWNER
per $1 ,000 or
fraction thereof 3. ADDRESS_ f�Z
8
4. APPLICANT jA,,-j4,Kjr-(
5. ADDRESS 4cv LtEaegL-Iga
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6. ESTIMATED COST $ wrF-�7is� -5�
7 . IS THIS A CONTRACT COST
files No
8. FEE ENCLOSED $ ,A��o
9. TYPE OF BUILDING :
RESIDENTIAL COMMERCIAL
10. TYPE O JOB :
i riginal Installation
Alteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB ��trTw/L , � �I Ll�
NO. STREIT 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 :
LICENSE N0. SIGNATURE OF APP CA T DATE
PHONE NUMBER:
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INSPECTOR DATE �' TIME�jZ�2
E LOCATION _
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INSPECTION: CODE: RESULT(D/A) :
BUILDING: I
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ELECTRICAL:
PLUMBING: I
HVAC:
OTHER:
I
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