HomeMy WebLinkAbout108 Andries Trail (8) PERMIT u
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
4 A
644-2511 Ext. 230
Date zing Inspector Application must be printed or typed
1 . LOCATION OF JOB 1
108 A17 drrei
FEE SCHEDULE No . Street
$ 0 - $1,000 - $10.00 Floor Apt . No.
Over $1,000 - $10.00 2 . OWNER hL 'D ,I,. s Schi.1 Il� �
per $1 ,000 or
fraction thereof II
3. ADDRESS `0'$,_ g , dn, ra,
s004-46� )fb/- 6LiV g(D I
4. APPLICANT
5 . ADDRESS 69 Old Farm Road
GQUTW Wa=R, rhNNECTICUT OW74
648-1508
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST ✓
Y e s o �
8 . FEE ENCLOSED $
9. TYPE OF BUILDING:
VRESIDENTIAL 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 �=tQ fin be/5' J/•Cj/ /
NO. STREET 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 : r
Pie, i G I C 2, 1 I O` fir►
J C,l7 ova
0 JM.
1�5 7�'i
LICENSE NO. SIGNATURE OF APPLICANT DATE
PHONE NUMBER: �If?IS03