HomeMy WebLinkAbout117 Brook Street (3)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
10-2-IG Application must be printed or typed.
Date B lding Inspector
1. LOCATION OF JOB
3Y00 S.l
FEE SCHEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No.
Over $1,000 -10.00 5
per $1,000 or 2 . OWNER •
fraction thereof
3. ADDRESS rap
Zt W. rpSo o, r ' 06 0-7
4. APPLICANT A- Cl&(,1 C- (
5 . ADDRESS sib
11 , ffig QI b l
6. ESTIMATED COST $ZOO a• 00
7 . IS THIS A CONTRACT COST _L
Yes No
8. FEE- ENCLOSED $ p
9. TYPE OF BUILDING:
VESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
L,Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB C)4(0,o —* 4
NO. STREET APT. NO
12 . TYPE OF INSTALLATION qL<-
13 . SIZE OF MAIN FEEDER 2,
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 TIJEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
J cU__ T L"6 S 5
TOD li-I& lac,& wu,tf-
QAA
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: