HomeMy WebLinkAbout11 Aroda Drive (15)PERMIT U
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 113-RILI
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
d
Date ng 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 r
per $1 ,000 or 2 . OWNER L /CSf
fraction thereof
3. ADDRESS
4. APPLICANT /71' C`r 1/e,
5 . ADDRESS 57 G.GV4,11V
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $
9 . TYPE F BUILDING :
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
Rn 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB z '
NO. ST'R/EET
e
APT. NO ,
12 . TYPE OF INSTALLATION
13 . SIZE OF MAIN FEEDER UCH I ta
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 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 :
L136 AleZ—giL.J."
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
i
INSPECTOR DATE TIME A
d/
YL
LOCATION
INSPECTION: COD RESULT(D/A) :
BUILDING:
ELECTRICAL:
57L
PLUMBING:
HVAC:
OTHER: