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HomeMy WebLinkAbout103 Benedict Drive (6)PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE A-,644-2511 Ext . 230 ate ding Inspector Application must be printed or typed 1 . LOCATION OF JOB bic T DRt Vr FEE SCHEDULE No . Street 0 - $10000 - 10.00 Floor Apt . No. Over $1 .000 - 10,00 AN L.NrY N''GZ'per $1 .000 or 2. OWNER fraction thereof 3. ADDRESS (c)S h,:;-,AeA(a— 4. APPLICANT CC C S• ADDRESS y C CUh fi C1 L' p- 6. ESTIMATED COST $ 7 . IS THIS A CONTRACT COST B. FEE ENCLOSED $ lzot Y No 9. TYPE OF BUILDING s J' DENTIAL COMMERCIAL 10. TYPE OF JOB: Original Installation lteration/Addition/Repair AD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB © J I CCT P'4u-e— 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 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS / 20. NO. OF CONVENIENCE OUTLETS 1 21. NO. OF HEAT CIRCUITS 22 . NO, OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS C1 24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS 26 . NO . OF PANELS l 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 r 34. NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : c,Fcc VS-4-=;c ku DID k A5WN-T'C Kry c C 00 rN- 0 00 LICENSE NO .SIGNATURE OF APPLICANT DATE PHONE NUMBER: rzq 7" 9q6L i we,- INSPECTOR DATE TIME LOCATION 3 INSPECTION: CODE: RESULT(D/A) : BUILDING: g ELECTRICAL 1 PLUMBING: HVAC: 9- OTHER: Y.;ticy",rt 1',:.,;7,>FN.ri+ia;Yank,...rT GM^:,i'„r:.M'L,i 1.xJw..+...'A+1'a,,;tJ,;.w.a;mn'i.zn.r:a:+.v%:7:.:.'Yi•.::+.;.t+.urdl.ini:w:.aM^iw'c ylw'W n,k Aw"T,C.c'tw`:::,";»r.."'ry,•.,f,r,.