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HomeMy WebLinkAbout100 Arnold Way (17) ~ PERMIT 11 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT DS Application is hereby: TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APP OVED DISAPPROVED 1540 SULLIVAN AVENUE y fK 644-2511 Ext. 230 Date Building Inspector Application must be printed or typed 1 . LOCATION OF JOB uo ✓v�o)d LAJ 444 FEE SCHEDULE No . Street $ 0 - $1,000 - $10.00 Floor Apt . No. Over $1,000 - $10.00 per $1 ,000 or 2 . OWNER 1UwA Cyr %0 (Jj ���2 fraction thereof 3 . ADDRESS / 7,37 /Pf4«-X/ S. 4. APPLICANT RoloPnr Ul/k YqC�f4,� 5. ADDRESS 28�- ►AA,w e-.�" FA /v1 W AI AJ,j j-?bQD e 6. ESTIMATED COST 7 . IS THIS A CONTRACT COST r/ Yes N 8 . FEE ENCLOSED $ wo-furo wN 13� 9. TYPE OF BUILD MG: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: Original Installation L/Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB ()O n � W NO. STREET APT. NO , 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER (o'©O AAA , 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 : tqS pear to4-10 p`cii�S z `��ReCs , � ( l 1 �I ��7J 9� 1. LICENSE NO. SIGNATURE OF APPLICANT DATE PHONE NUMBER: 53'p�YQ Lot No- Building Permit ajemrtr& TempQraq-Sejrviqe 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. OkOwner z- Electrician Street-,'!', ',- 19 Building Inspector