HomeMy WebLinkAbout101 Abbe Road Ext. (22) " Pr£RM IT2
DEPARTMENT DECISION APPLICATION FOR ELBC?RICAL PERM17
t Application is hereby: TOWN OF SOUTH WIND50R
BUILDING INSPECTION . DEPT.
rev
DISAPPROVED 1540 SULLIVAN AVENUE
` r 644-2511 Ext. 230
Building Inspector Application oust be printed or typed
1. LOCATION OF JOB I�+� Y �Avrl�oel
/DI I�I34Y 1�0.4� -eXTrnrs[oA✓
FEE SCHEDULE No. Street
$ 0 - 010000 - $10.00 Floor Apt. No.
Ov r $1,000 - $10.00
i per $1�000 or 2. OWNBR �� • Ssur'H ��✓�so�•
fraction thereof
3. ADDRESS 147W 5a to -y 4t{G
• Sa�cr�r �t/i.✓�to_••-� U+vN . O do OT'�
4. APPLICANT £/,ircMIC fZ &e_m±E<'XML .
S. ADDRESS ZS'!O /Jl,9m.,, 'gr r11Aj1.Tt�eo�
6. ESTIMATED COST $ SDQ•D!d
7. IS THIS A CONTRACT COST x
Yes No
[ S. FEE ENCLOSED $ 'L
r
4. TYPE OF BUILDINCt
RESIDENTIAL XCONNERCIAL
10. TYPE OF JOBi
Original Installation
V00Alterstion/Additi n/Repair
80 3A 11/88
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APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11. LOCATION OF .SOB /d/ - .144.97' 44,✓ �xTE�Siyi✓
NO. STREET APT. NO .
12 . TYPE OF INSTALLATION 4dd�lrlv�y'-4
13. SIZE OF MAIN FEEDER
14. NO . OF LIGHT LOOPS .. 15. NO. OF HEAT LOOPS
16. NO. OF POWER LOOPS a- 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. N'O. OF TIGHT 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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6TAn/� �l iW�/t S l�y /l�r... ;__ �4A•O�l�_5 _�Ay 5_
LICENSE N0, SIGNA URE OF APPLICANT DATE
PHONE NUMBER: Sy/�' ��Z-2-