HomeMy WebLinkAbout1 Amaryllis Lane (7) 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
D to ding 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 �
2 . OWNER
per $1 ,000 or
fraction thereof - /
3. ADDRESS ,�0"7,
4. APPLICANT
5 . ADDRESS
� Go
6. ESTIMATED COST
7 . IS THIS A CONTRACT COST
Yes N
B . FEE ENCLOSED $ �L� e4-
9 . TYPE OF BUILDING: ,fit 1-?0 Gl 4 2
� RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB / O / ,,,7,F'yGL/S
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION �GcJ
13 . SIZE OF MAIN FEEDER
14 . NO. OF LIGHT LOOPS S 15 . NO. OF HEAT LOOPS
16. NO. OF POWER LOOPS Z 17 . NO . OF LIGHT OUTLETS
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
20. NO. OF CONVENIENCE OUTLETS sZS 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 v26
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 :
liL�1,Ti� �//J� ��J/�' G1i✓�f-nG/�U���TJ �f�cJiG'r
LICENSE NO. SIGNATURE OF APPLICANT DATE
/PHONE NUMBER:
Lot No.
Building Permit 7
Temporary Service
Permanent Service
- -' Pursuant to Permit No. ,�.
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
own r Electrician �', U G)/,_,
�3
Street
/ Building Inspector