HomeMy WebLinkAbout1535 John Fitch Boulevard (21)PERNIT
D EPAftTM ENT DECISION APPLICATION FOR EL 3ECTRICALPERMIT 9
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEFT.A:P:P:K63 DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
Date Building Inspector Application must be printed or typedi
P
1. LOCATION OF JOB
Y
1535' Jdkk - ( 1
FEE SCHEDULE No . Street
0 - $10000 - U4—.6-013.00 Floor Apt . No.
Over $1 ,000 - 3.00
per $1 ,000 o r 2, OWNER f- i ilP,
fraction thereof
3. ADDRESS S 'J J 0WK,
4, APPLICANT CICG 1Y 1ca 4Q,ou a-+'C
59 ADDRESS 5P hdoi
C4Rcd1 « 6U dgz
6. ESTIMATED COST
7 . IS THIS A CONTRACT COST Pe-
Yes No
8 . FEE ENCLOSED $ c>a
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
1,34- Alteration/Addiion/Repair
R n 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATIONS
13 . SIZE OF MAIN FEEDER
14 . NO . OF LIGHT LOOPS clll 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 :
17M(
LICENSE NO . SIGNATURE OF APPLICANT D TE
PHONE NUMBER: 6oO--7(L 717