HomeMy WebLinkAbout100 Bramlebrae (6)PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 1,7q7
Application is hereby : TOWN ' OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
Z.
644-2511 Ext. 230
ate B d nspector Application must be printed or typed
1 . LOCATION OF JOB
0 r/4-R-/5 1
FEE SCHEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No.
Over $1,000 - 10.00
per $1 ,000 or
2 . OWNER qyke y GoC ;Sv`
fraction thereof
3. ADDRESS
4. APPLICANT cec -r -
5 . ADDRESS
r
6. ESTIMATED COST
i
7 . IS THIS A CONTRACT COST
J
Yes N
8 . FEE ENCLOSED 1-1a
9. TYPE OF BUILDI G:
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 /(-'o
C c-I,/0--/g-
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION 2-:- i/
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-.4'
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 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 a
30 . A/C LOAD 31. SIZE OF POWER FEEDERS CJ
32 . NO . OF FIXTURES 33. TOTAL HORSEPOWER (
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: S' Z My