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HomeMy WebLinkAbout118 Birch Hill Drive (8)DEPARTMENT DECISION PERMIT# APPLICATION FOR ELECTRICAL PERMIT IbIW Application is hereby:TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE rc 644-2511 ext.230 Date Building Inspector Application must be printed or typed Location ofjob s f i 9ew ///I/— 'Z>R I Street No. Street Lot No. FEE SCHEDULE Floor Apt.No.F$0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNERP///4/P O/Vig,19 or any fraction thereof ADDRESS--&2 &AC# &U, &Q OWNERS PHONE# 41-?Y0 APPLICANT 1491C4W,,qQ ZV601LI C"iE IWN- A) CIO), OWN S ADDRESS F460 9qA ESTIMATED COST on IS THIS A CONTRACT COST? iol voi P N. U YES NO IS FEE ENCLOSED 3 & , oo OR-Co TYPE OF JOB: Original Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A 1 RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP Other please specify) momw TYPE OF INSTALLATION/WIRING METHOD cr jOLr dl uO 1A1S7p _ `?©Qw /-LVY 1I,aL l i l 14 04ti0 7 Z4AX7)r6-Q SYSI 9fM . SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK 0AA)6L 9,vv q 8 3 k6M.15V _ Cg 611 _ra W y f SjP fax 144LS-0 CORI) lb a,625AA;2a_ THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUC 7-c N,4 Rd l yG IL S io aS3 I NAME STATE LICENSE NO. TYPE SIGNMtKEZF APPLICANT PHONE NO(F60j 6-7 V 9 y DATE s