HomeMy WebLinkAbout15 Apple Tree Lane (9) PERMIT 1
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 13q 9Jr
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
at 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 j _(2,k j,IC-
per $1 ,000 or
fraction thereof
3 . A D D R E S S /,$"" �,e,®/e jyre �w-►e
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4 . APPLICANT-70,yl l'✓/�rroz✓
5 . ADDRESS qS-S-
6 . ESTIMATED COST $ 30
7 . IS THIS A CONTRACT COST
Ye N
8 . FEE ENCLOSED $ ,
9 . TYPE OF BUILDING : ��� �
,-IrESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
riginal Installation
Alteration/Addition/Repair
RD 1A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB /cr d&Z tree Lc'—
le-NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION C)f `S,_„r►�Mny
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 :
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LICENSE NO. SIGNATURE / APPPLICANT DATE
PHONE NUMBER: