HomeMy WebLinkAbout100 Arnold Way (46) PERMIT If
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 135'Liq
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
Date 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 1ojA)1j ®F �1SDf
fraction thereof q
3 . ADDRESS /.>ZIp 34,111 VAfs
4 . APPLICANT Zrv%,ae bee- itW-
5 . ADDRESS n? Fat WA. A
�YL L&( , C+. 04,010
6 . ESTIMATED COST $ 3SrQ4Z5
7 . IS THIS A CONTRACT COST `�
Yes No
8 . FEE ENCLOSED $ L
9 . TYPE OF BUILDI C : / .�L19
RESIDENTIAL V COMMERCIAL
10. TYPE OF JOB :
Original Installation
V Alteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB /Qd A,,o a M/Ay
NO. STREET APT. NO .
12 . TYPE OF INSTALLATION Mod. MJ, 51C_.
13 . SIZE OF MAIN FEEDER .2 SerS 35-0eKcw\ CePpQ/ DdAfcP
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 . NOv 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 :
Pee-M I-r 1 S -�Y-- "J'4a
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LICENSE NO . SIGNATURE OF APPPyLICANT DATE
PHONE NUMBER�r���� ZyS�SV(_,L(