HomeMy WebLinkAbout155 Abbe Road (19)PERMIT 8
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT /'3
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
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Da a ng Inspector Application must be printed or typed
1 . LOCATION OF JOB
FEE SCHEDULE No . Street
0 - $1 ,000 - 10.00 Floor Apte No .
Over $1 ,000 - 10.00
per $1 ,000 or 2 . OWNER M,*Z.Z.
fraction thereof
3. ADDRESS dec'iyql
4. APPLICANT_ Do/y,.,,v/-C
5. ADDRESS
dU
6. ESTIMATED COST $ 1200
7 . IS THIS A CONTRACT COST
Yee No
o
S . FEE ENCLOSED $ D
9 . TYPE OF BUILDING%
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
Alteration/Addition/Repp it
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB kit Acllyd
NO. STREET APT. N0 ,
12 . TYPE OF INSTALLATION
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 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 :
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2 _3 -
LICE. SE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
Ii4SPECTOR DATE 2 • TIME
LOCATION
INSPECTION: CODE: RESULT(D/A) : K
BUILDING:
t.
ELECTRICAL: 2 l
f
PLUMBING:
HVAC:
OTHER: