HomeMy WebLinkAbout100 Arnold Way (29) PERMIT a
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT �OJ
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
J� 644-2511 Ext . 230
a e Building 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
per $1 ,000 or 2 . OWNER
fraction thereof
3. ADDRESS
GG�yG1e�'1�' CJ�u%I?l�1�R �. f �'IJyN;r�SZO
4 . APPLICANT J9100 )rItM 1,4& i2)c
5. ADDRESS 3 41,cl?,o le,,z
C40-M✓ac Cr 0 6 (1/6
6. ESTIMATED COST $ 7UW•-`-)0 )
7 . IS THIS A CONTRACT COST V
c Yee s
8. FEE ENCLOSED $
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
RO 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB 111VO711V Gb�i/12JIS �(i/J�Z, Jam`} � ry
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 . N0 . 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 :
�c"Un llo-1 S rNK' 6171z �b /A L kP��Si w,
l 93 t�,ti V Zf
LICENSE NO . SIGNATURE OF APPLICANT DATE
PHONE NUMBER: