HomeMy WebLinkAbout11 Alpine Drive (11) PERMIT A
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT f2�s 3
Application is hereby : TOWN OF SOUTH WINDSOR
_— BUILDING INSPECTION DEPT .
APPROVED DISAPPROVED, 1540 SULLIVAN AVENUE
^Z3 y 644-2511 Ext . 230
9,3 ia4
Date Building Inspector Application must be printed or typed
1 . LOCATION OF JOB
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FEE SCHEDULE No . Street
1
$ 0 - $1 ,000 - $10.00 Floor Apt . No.
Over $1 ,000 - $10.00
per $1 ,000 or 2 . OWNER Njci4 rwj-
jA� ,
fraction thereof
3. ADDRESS
1 1 �I:�i►.� ��y(
Soa77t C-1
4 . APPLICANT SINH6
5 . ADDRESS
6 . ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Yea No
8 . FEE ENCLOSED $ 10
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9 . TYPE OF BUILDING :
X RESIDENTIAL COMMERCIAL
10 . TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
RD 3A 11 /88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB ii AL?tt.
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION �x
13 . SIZE OF MAIN FEEDER �2
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 :
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LICENSE NO. SIGNATURE OF PLICANT / DATE
PHONE NUMBER: � Z��b^ I7tlric' 6�X s66E iwa-ic