HomeMy WebLinkAbout100 Bramlebrae (2)f
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. 2303
at ding Inspector Application must be printed or typedIDY1 . LOCATION OF JOB
FEE SCIIEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No.
Over $1,000 -10.00
per $1 ,000 or 2 . OWNER
fraction thereof
3. ADDRESS /101C)
So r i's CXS
04. APPLICANT c c%/P - cC C o4-"
5. ADDRESS e /NC-f,
0'
L,,,t L 070c-- 06,037
6. ESTIMATED COST $ 350e)` a d
7 . IS THIS A CONTRACT COST
Yee No
8. FEE ENCLOSED 7 d oc
9. TYPE OF BUILD NG:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Inetallati n
Alteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB_ /00 f''-le
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION
13 . SIZE OF MAIN FEEDER
14. NO. OF LIGHT LOOPS ly 15 . NO. OF HEAT LOOPS
16 . N0. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS3Z
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 F 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
Cort5/ c
35 . REMARKS AND FURTHER DETAILS :
r--
4 e
cO 7
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: (2',?, R-?oo-
Lbt No.
Building hermit
Temporary Service
rmanent Service
Pursuant to Permit No.
This Certifies that the Electrical Work for which the above named Permit was grantedhasbeendulyInspectedandisherebyapproved.
Owner Electrician
Street toa
ding Inspector