HomeMy WebLinkAbout1 Amaryllis Lane (7)PERMIT #
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
D to ding 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
per $1 ,000 or
fraction thereof
3. ADDRESS ,0"7,
4. APPLICANT
5 . ADDRESS
Go
6. ESTIMATED COST
7 . IS THIS A CONTRACT COST
Yes N
B . FEE ENCLOSED $
L e4-
9 . TYPE OF BUILDING: fit 1-?0 Gl 4 2
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB / O / ,,,7,F'yGL/S
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION GcJ
13 . SIZE OF MAIN FEEDER
14 . NO. OF LIGHT LOOPS S 15 . NO. OF HEAT LOOPS
16. NO. OF POWER LOOPS Z 17 . NO . OF LIGHT OUTLETS
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
20. NO. OF CONVENIENCE OUTLETS sZS 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 v26
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 :
liL 1,Ti //J J/' G1i f-nG/U TJ f cJiG'r
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
Lot No.
Building Permit 7
Temporary Service
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.
own r Electrician ', U G)/,_,
3
Street
Building Inspector