HomeMy WebLinkAbout118 Berle Road (10)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT A?3
Application is hereby: TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
Application must be printed or typed.
Date uilding Inspector
1. LOCATION OF JOB
F,e- P
FEE SCHEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No.
Over $1,000 -10.00
2 . OWNER e. lper $1 ,000 or
fraction thereof
3. ADDRESS ( j2 C P
4. APPLICANTJVI Ao-eP I- enree OthPn i5le..
5 . ADDRESS P,O. Box Uc)(
o in n C 9v
6. ESTIMATED COST $ ?50
7 . IS THIS A CONTRACT COST
do Yes No
8. FEE ENCLOSED $ Q
yU
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteratio /Addition Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB Ila R e,d
NO . STREET APT. NO
12 . TYPE OF INSTALLATION dal 'r' La 1 Z
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 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 :
0.3 (0 a
LICENSE NO.SIGNATURE OF APPLICANT DA E
PHONE NUMBER: - 14951