HomeMy WebLinkAbout15 Ahern Drive (6)PERMIT U
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 1 )3-3 qf
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
2-hh— 644-2511 Ext. 230
to B nspecto Application must be printed or typed
1 . LOCATION OF JOB
FEE SCHEDULE
No . Street
0 - $1,000 - 10.00 Floor Apt . No.
Over $1 ,000 - 10.00
per $1 ,000 or
2 • OWNER M{ ®LS1 1
fraction thereof
3. ADDRESSt f /t:/V
4 . APPLICANT Mi iNV,&f-- Oe-C-4s L_
5 . ADDRESS , / DRAP—
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST
4188 . FEE ENCLOSED $
Db
9 . T PE OF BUILDING :
ESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Iteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB ,#-
I/'
I-S p-pj
NO. STREET
I
APT. NO ,
12 . TYPE OF INSTALLATION — fNyv0 1, (et)ti
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-- JL--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 . EMARKS AND FURTHER DETAILS :
Oad
LICENSE NO.S WATURE OF AAPPLI1C/ANNT DATE
PHONE NUMBER: k—d7(ca t