HomeMy WebLinkAbout14 Abar Lane (5)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:
APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR
I 13UILDINu INSPECTION DEPT.dpaZ 644 -2.,11 Ext. 230
Date Building Inspector
Applications must be printed or typed.
1. LOCATION OF JOB
FEE SCHEDULE No• Street
Floor Apt. No.
0 - $1,000 - 10.00
Over $1,000 - 10.00 2. OWNER
per $1,000 or
fraction thereof 3. ADDRESS
4. APPLICANT
5. ADDRESS______
I ACTUAL COST $ FEE $ 6. ESTIMATED COST $--,
f__ESTIMATED COST $_ ` FEE $ 7. IS THIS A CONTPACr COST? Q YES/Q NO i#FILE COLT. BY BALANCE $_
I8. FEE ENCLOSED $
9. TYPE. OF BIILAIN('
Q RESIDENTTA' COMUMERCIAL
10. IYPE of. J("B:
ORIGINAT, ALTERATION
1VSTALI A;To % Q ADDITION
REPAIR
APPLICATION FOR ELECTRICAL- FIF-Pa1T(Continued irum icevarse Side)
11. LOCATION OF JOB 1 y ar V\
NO. STREET FLOOR APT. NO.
12. TYPE OF INSTALLATION
13. SIZE OF MAIN FEEDER
14. NO. OF LIGHT LOOPS 15. NO. OF HEAT LOOPS 16. NO. OF PCht.,-ER LOOPS
17. NO. OF LIGHT OUTLETS 18. NO. OF HEAT CIRCUITS 19. NO. OF POWER Ui;T1. -"S
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 NOTORS
26. NO. OF PANELS 27. TOTAL WATTAGE 28. NO. OF POWER PANELS
29. NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS
32. NO. OF FIXTURES 33. TOTAL HORSEPOWER
34. NAMES OF SUBCONTRACTORS AND THEIR TRADES
35. REMARKS AND FURTHER DETAILS:
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LICENSE. NO. S E OF P CANT DATE
PHONE NUMBER: