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
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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
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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 :
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LICENSE NO .SIGNATURE OF APPLICANT DATE
PHONE NUMBER: