HomeMy WebLinkAbout14 Bissell Court (2)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT )442 4 V
Application is hereby : TOWN OF SOUTH WINDSOR
APPROVED DISAPPR VED BUILDING INSPECTION DEPT.
644-2511 Ext . 230
Z Application must be printed or typed .
Date Building Inspector
1 . LOCATION OF JOB 0 T 3 y
V o
FEE SCHEDULE
No . Street
0 - $19000 -10.00 Floor Apt . No .
Over $1 , 0 0 0 -10 .0 0 2 . 0WN ER,/2/gi /Jf,r///,2i a Sd/f' -Z C
per $1 ,000 or
fraction thereof
3. ADDRESS •
SOU77Y
4 . APPLICANT ell
5 . AD D R E S S s74
6 . ESTIMATED COST $ e.Z
7 ® IS THIS A CONTRACT COST V
Y No
8 . FEE ENCLOSED $ 36
9 . TYP OF BUILDING:
RESIDENTIAL COMMERCIAL
10 . TY EF JOB :
Or,Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB Z Z .. of L4 Cd C//F
NO . STREET APT. NO
12 . TYPE OF INSTALLATION vl
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 old
18 . NO. OF HEAT CIRCUITS 19. NO . OF POWER OUTLETS
20. NO. OF CONVENIENCE OUTLETS U 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
LICENSE NO .SIGNATURE OF APPLICANT DATE
PHONE NUMBER: C ` J6'-' 7C
Lot;No._
Building Permit
Temporary Service
Permanent Service
Pursuant to Permit Na.)
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
Al 0 "1 V Lp 7OwnerElectrician 13 n
Street
Building Inspector