HomeMy WebLinkAbout100 Arnold Way (24) PERMIT M
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
ate B nspector Application must be printed or typed
1 . LOCATION OF JOB
FEE SCHEDULE No . t- Street
$ 0 - $1 ,000 - $10.00 Floor Apt . No.
Over $1,000 - $10.00
per $1 ,000 or 2 . OWNER lowrN Jr�v
fraction thereof
3. ADDRESS
4. APPLICANTb
5. ADDRESS 2-Sa �skU � l
CA . UCcOI U
6, ESTIMATED COST $, / �y1
7 . IS THIS A CONTRACT COST ✓
8 . FEE ENCLOSED $ �
9. TYPE OF BUILDING :
RESIDENTIAL V COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
RD 1A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB f"/
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION — LT7Dr1 ®-F �3 pc,r
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 . REMARYKIS AND FURTHER DETAILS :
�l��E'v'cC��,v1P�l lavl Gnf)'F7z� l� lLTs aVd� C,;(, �Fe�d �GVIE (S
LICENSE NO. SIGNATURE OF APPLICANT DATE
PHONE NUMBER: 5�55 C':�-76