HomeMy WebLinkAbout129 Farmstead DrivePERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT l
Application is hereby :TOWN OF SOUTH WINDSOR
PPROVED DISAPPROV D BUILDING INSPECTION DEPT.
644-2511 Ext . 230
Application must be printed or typed .
Date Building Inspector
1 . LOCATION OF JOB
FEE SCHEDULE No . Street
0 - $19000 - 10. 00 Floor Apt. No .
Over $1 ,000 -10.00
per $1 ,000 or
2 . OWNER
fraction thereof Aa3. ADDRESS
4. APPLICANT i
5 . ADDRESS6 2
6 . EST MATED COST $ "-D D 0
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $
9 . TYPE OF BUILDING:
SIDENTIAL COMMERCIAL
10 . TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
BD 3A 11/88
Y+
I
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB lag
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 . 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 :
r
Z2 Lz--
c O
t_
LICENSE NO .SIGNATURE OF APPLICANT DATE
PHONE NUMBER: D
ae'-a-+r - '-. .,.-.. __ --•f-.._,r-.--.s._....-„-,-r---^-r A---,-._..;.`.-'"-'.`-,-air^-_. T......_e,,, - .,s-"c'• -*- 4 e+r+.,.;c _..,..R.-.
Lot No.
Building Permit
Temporary Service
Permanent Service
Pursuant to Permit No. v
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is ereby approved.
Owner C-(-I i^/!- r` Electrician C 6f'cY I
r
Street I r r' . C a
19 &
Building Inspector
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
92-12317-E 500
E01 SERVICE 08/31/92 003 A RELEASE ISSUED OK
Total Est Value 500