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PERMIT /
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DEPARTMENT DECISION r APPLICATION FOR ELECTRICAL PERMIT Q7j?
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Application is hereby:
P,... ;. ,, TOWN OF SOUTH WINDSOR
APPROVED PRO Mr BUILDING INSPECTION DRPT.
644-2311 Ext. 230
Date Building ttip b q,:=. ,
7
r ':, , , Applications gust be printed or typed. ;
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1. LOCATION 00 JOB
4
PEE 9MOME No. Street
Floor Apt. No.
to - $10000 - 10.00
Over $1,000 - 10.00 2. oi R
per 11,000 or
fraction thereof 3. ADDRESS 1 s
4. APPti CANT D q
5. ADDRESS
ACTUAL COST $ FEE $ 6. ESTIMATED COST S a S oG-
ESTIMATED COST $ FEE $ 7. IS THIS A CONTRACT COST? YES CI NO
FILE COMP. BY BALANCE $ 8. FEE ENCLOSED A(4 Pjj,,*,A*(7A0
9. IFE OF BUILDING:
RESIDENTTA1. Q CO*TRCIAL
10. TYPE OF JOB:
0'(tG I X ALTERATION
INSTAI.T.ATTON M ADDITION
R"- AIR
APPLICATION FOR ELECTRICAL PERa rr(Continued tcom tieverse Side)
11. LOCATION OF JOD 1 6S - /6 T od 1 a /.
N0. STREET FLOOR APT. N0.
12. TYPE OF INSTALLATION Net,
13. SIZE OF MAIN FEEDER
14. NO. OF LIGHT LOOPS_S 15. NO. OF HEAT LOOPS 16. N0. OF POWER LOOPS
17, NO. OF LIGHT OUTLETS_25 18. NO. OF HEAT CIRCUITS 19. NO. OF POWER OU- l.Ll"S_
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20. NO. OF CONVENIENCE OUTLETS Y&21. NO. OF HEAT CIRCUITS 22. NO. OF POWER CIRCUITS`
23, NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25. NO. OF iil(r:ORS
26. NO. OF PANELS 27. TOTAL WATTAGE 28. NO. OF POWER PANELS _
29. N0. OF SWITCHES 3 D 30. A/C LOAD 31. SIZS OF POWER FEEDERS
32: NO. OF FIXTURES / 33. TOTAL HORSEPOWER
34. NAMES OF SUBCONTRACTORS AND THEIR TRADES Ga.- ev=_Oa,--a, ,1 c-.
35. REMARKS AND FURTHER DETAILS:
LICENSE)NO. SIGNATURE OF APPLICANT A
PHONE NUMBER:
K
WWI 77
L`of'Not
Building Permit—A J v
Temporary Service
Permanent Service
Pursuant to Permit No. d 7
This Certifies that the Electrical Work for which the above named Permit was grantedhasbeendulyinspectedandisherebyapproved. Y
6OwnerI &tA 1 ° Electrician oe R 11 AM
Street
19NJ 1
Building Insp ctor