HomeMy WebLinkAbout125 Bidwell Road (5)PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 4
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
a e ig Inspector Application must be printed or typed
1 . LOCATION OF JOB
44 las
L;j&' a;0 tj,;2;_( /2.-;,
FEE SCIIEDULE
o • Street
0 - $19000 - 10.00 Floor Apt . No.
Over $1 ,000 - 10.00 2 . OWNER Cc013 f sf'st.,
per $1 ,000 or A
fraction thereof 3. ADDRESS
zFwin sK,1
4, APPLICANT ,cs,•> ( iL c./.J t'
5. ADDRESS ,2 L
6. ESTIMATED COST $ ^ v u
7 . IS THIS A CONTRACT COST k
Yes Z8. FEE ENCLOSED $
ZP5
9. TYPE OF BUILDING:
RESIDENTIAL CCOMMERCIAL
10. TYPE OF JOB:
k Original Installati n
Alteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB y S, 0 U'r (( -'z 0
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 . N0. 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 :
W J y Q W L.J lJ ( UrZ./\c T _l • •l7 t -J
a
LICENSE NO.SIGNATURE OF PPLICANT DATE
PHONE NUMBER: 9')r6 -- Z t- 0
q'
INSPECTOR DATE I1 !J TIME
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LOCATION N
INSPECTION: CODE: RESULT(D/A) :
t
BUILDING:
I
ELECTRICAL: - f
f
PLUMBING:
HVAC:
OTHER: - -