HomeMy WebLinkAbout151 Birch Hill Drive (6)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
Application must be printed or typed.
Date B lding Inspector
1. LOCATION OF JOB
FEE SCHEDULE No . Street
0 - $19000 -10. 00 Floor Apt . No.
Over $1 , 000 -10.00 2 . OWNER
per owr/per $1 ,000 or
fraction thereof
3. ADDRESS- l s/ ITI•t4c-`i
4. APPLICANT U 1;cor,
5 . ADDRESS
6. ESTIMATED COST $ 700'
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $ d•
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB
NO . STREET APT. NO
12 . TYPE OF INSTALLATION /o L/c 4--
13 . SIZE OF MAIN FEEDER p0/air,_
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 :
C, 10 ,3613
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: 6,4/y - U/e! '