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HomeMy WebLinkAbout170 Dart Hill RoadApplication No. .. . 3244. Permit No. .. ?984......... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (&tree (make alteration to) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word `erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., ....1 /.............a 5 ............: Sign here .................. ................................................................ ...... Address ... 7Q........DD,.1.R..r......H...1..11.......R-0-4.11).............. Location? .............................................. ..k1..40T4 ........... ........side of? ........ d................ Nearest cross street? .. Street No. .................................................... Lot No. ................................. . Owner of land is?. .,,l .ILA!.. f ',,. E.../ ...Address .,. Qr .+2./....1 tl.. . .... Owner of building is? .... .......at........................... .................................Address .. ...........'...`..............................`....:............................................`............. Architectis? ......... ...............................................................................................Address ..................................................................................................................... Builderis? .. ................`.......................................................i..............................Address ...................."........ 1......... r Y Dimensions of building?j. Feet front? ..,;L.-......... . Feet rear? Feet deep? .2,.. . ... Extreme height to highest point of roof? ................... .. ....... ..... . . No. of stories in height? ....,r......,.. ... .. .. Purpose of building is. 6.a..e..c- ....... No. of stores. .......................... ........................................................................... Howmany families? .................................................._....................................No. of rooms? .... ................................................................................................. Ar Distance from street line is? ......... from building line is? ............ ......................................................... ADDITIONS AND ALTERATIONS Give Brief Description) N C R E F r N os MapNo. .. ........................ If of steel frame, what is exterior construction? .. What kind of columns used? .......... ... .. ..... ...... ...............Size of columns used? What length of columns used? .. .. . How protected? . ... ............... ..... ............ ........... ... What kind of beams or girders? Size of beams or girders? .......... . ..... . ............................. Longest span of beams or girders? These rest on? . I............................. Roof construction is? .. ........ ........... ....... ........................ .....Roof covering is? The floors are of construction and are calculated to carry a safe load of . ........ ... ....... lbs. per square foot. See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? Compositionof mortar? ....... . . ...... ..... ........ .. ... ..... . ............ ............................... .............................. ........................................ Height and Thickness of Walls Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, 1st Story 2nd 3rd " 4th " 5th " 6th " 7th " I.................... I.................. .... .. ........ ............................................ ................................................... 8th " 9th 11 10th " Material.of Front? .. . If stone, what kind? Thickness of Ashlar? Thickness of Backing? Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS 11 GIBDIM COLUMNS Floors I Size Longest Span Centres, Bridging Size Longest Span Centres Size Length Centres 1st F1 or I............................................................................................ .......... ...................................................... ....................... .............................................................. 2nd .." I......................... ....................1 Size of outside studs? .....2,.-.X.44............ Distance on centres? ....(10........................ Size of sill? ........Z-A-__4.............. Size of rafters? Distance on centres?.........x.:-...................... Size of plate? ....... Sizeof ledgers or girts? ..............................................................................Size of deck rafters? ... ................... ........................................ ............... Distance on centres? .............. ........................................................................Size of studs in•bearing partitions? MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? Fireplaces? .... ............. .............................. lz..................Material of roof covering?a,/70'7...........Material of Cornice? Howis building heated? .........................................................................Lining of flues? ... ........................................................ .......... . ............. Thickness of shell of flues? ......................................................................Any elevators or lifts? ................. .. .... .................... .. .................... What kind? .............. ............. . . ......... How many? ...... . .... Any hoistwa7S9. .. .... 77y.jP-C....................................How protected? ........... .... ........................................................ .................Total Value of Building .. 7'When will work be commenced? .. C 9x. ....... The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli- cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the Town of South Windsor since 1949. Applicant 298,)4- BUILDING APPLICATION Application No. _3.2..'r4......................................................... onthe ........................ ....... .................... ................ side of Jai-t Hill 1 d a............ ... Street. Street No, .1.7 0 Owner ....John.....`I-I T--rt ek Applicant amig.. . .... ............ . ...... .... ...... CLASSIFICATION Tu r e bre e7.e T, ,T porch. 2))1 1 X-27 1 Permit issued on above Application. Date, . Oc.t...... 2 ... .......... TOWN OF SOUTH WINDSOR BUILDING PERMIT f: Date Oct. 2_ 19 59 Fee Paid $ •00) Est. Value $1-8.00• Permit N9 2984 on the North side of Dart Hill Rd. Street Street No. 17 G- John C swertek I Owner Applicant Sam e CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid j$ CLASSIFICATION Garage, Breezeway and closed-in porch. 24 r x27 r BUILDING PERMIT N° 2984 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Oct.• 20 19 59 I rt to to Tertif1j.9 That John Cswert®k is hereby granted permission to Garaged Breezeway and closed-in porCi1 i1- 7C2r at estimated value of r • 11V on the Vor t h s;.de of Dart Hill u s3.-- __ Street on land owned*by Jo in C swer't ek Said Work to be as described in Application No. 3244and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued QC t -2- 1959 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." Application No. 674.7.. . Permit No. 6447... . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (erect (make alteration to) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line thr ugh word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., /P//1...................... 19...oQ, 1 Signhere . Address ...,X .....d6fll. .- i 't......*a kog a Location? ...7....Q..... ° ....io—Zl.....X ......................side of? .. ................................................................................................................... Nearest cross street? . .1- f1k........Al...............................Street No. . ................ .............................. ]Lot No. ... ....................... . Owner of land is? ../ . Address .1,,*7 ek;*.. ..................... Owner of building is? ..... Address ... ............. ,r!.' ., "................................................................... Architectis? .. . ............. .................................................... .................. .Address .. ........................................................................................................... A^,A ray!^ ; S.S ee rc7/e%- X1•Builderis? Y....., .!. ...............................................Address ...... ensions of building? ..Fat front? ........ .. . Feet rear? .............. ........... Feet deep? ..... Extreme height to highest point of roof? ........4?Z. - r'' •.. . .... ...No. of stories in height?..........-.. Purposeof building is? No. of stores? ..... ................... .. ...................................................................... How many families? ................. .........._.._......................_.........No. of rooms? ...... 0... ef. .....- Distance from street line is? ...... ........ ............................................from building line is? .................. ........................................................... ADDITIONS AND ALTERATIONS Give Brief Description) fMvsN ............ .../......7111G..L...•..... 1.... .::.•... All........ .79i:....`A................ V................................... rL.................... ...i'......i tq. •S. '........AAa1 ... ...................................................................................... MapNo. . .................... If of steel frame, what is exterior construction? . What kind of columns used? ................1............... . ........Size of columns used? What length of columns used? . How protected? What kind of beams or girders? .. ..... . ..... .Size of beams or girders? .. . .... Longest span of beams or girders? ......... ... .. .... ... ... These rest on? Roof construction is?Roof covering is? The floors are of ......... .. ... ... ....... .. . .... . construction and are calculated to carry a safe load of lbs. per square foot. See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? . ..... ... ....... . ........... .... .. ... ............... ... ................... ..... .......... ... .... .... ..... ..... Compositionof mortar? . ........... ................................................... ......................................................... ............... ............ ... ... .. ........................ Height and Thickness of Walls Height Stories Front Walla Side Walls Rear Walls Partition Walls Basement, 1st Story I........ ..... ..... 2nd 3rd " I......_....................._. ......................I......................... ........................................... .......................................... ,........................................... .. .................. ..... ... .. . .. 4th Is I..................... .,......................................._................................................. ........ ....... . ........ ..... 5th 6th " Tth " I....... ........................................................... ............ ......................... I................. . .. ... .......... ......................I...................... ................................................ Sth 18 9th " loth " Material.of Front? If stone, what kind? . Thickness of Ashlar? Thickness of Backing? Backed up with what?Arches or lintels over openings? WOOD CONSTRUCTION. Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GIRDERS OOLUMNS Floors Size Longest Span Centres Bridging Size Longest Span Centres Size Length Centres 1st Floor 2nd . ZX$' ............................... ...G...'el. ...................... ........._.. ._............................_... .................. ........_..... ._..........._.. ................... Z................ ............. .' .......... ..._......... ..&9 ...._.. Ka 4 .... ..... ........... .............. .................. Size of outside studs? ...-.2X31................. Distance on centres? ....../....................... ...... Size of sill? ..................-.................... Distance on centres?Size of rafters? ................................ Size of plate? ......... X..`......................... Size of ledgers or girts? ............ .......... .. ...........................................Size of deck rafters? ..................................................................... ............... Distance on centres? ............. .......................................................................Size of studs in bearing partitions? ......./ Q t ,cr MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? . .. 1a/Fireplaces? .............,--YA/Y.c................ Material of roof covering? ..... D .......... .......Material of Cornice? .........i,e ................................................... How is building heated? . .. .1...Lining of flues? .. ...... Thickness of shell of flues? ............ ................."" :......................Any elevators or lifts? ............... _.......................................... ...................... What kind? . . .... ... --.. How many? .... Any hoistways? .. ... ...- . 41Howprotected? . ...... ....... . Total Value of Building ' ~......................................... When will work be commenced? ......r.... r ...r....................................... ................. The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. Town of South Windsor since 1949. k es°, e r Applicant 6447 BUILDING APPLICATION 6.7:Application No. ...... onthe ................................................................................. side of Dart Hill Rd.Street. Street No, .17Q.... Robert S. LeavittOwner Applicant Manchester Lumber Co.Manchester. ... ......... ... .. . ......... .. .. CLASSIFICATION Ra.i.se ....24.1 of....pro s.e.r1t...hqqs e roof to construct 2 bedrooms and bath, Permit issued on above Application. Date, . -.7n11-68 .. . ig. . .. TOWN OF SOUTH WINDSOR BUILDING PERNIIT Date July 11 9 19 68 Fee Paid $. `... . .0 0 Est. Value $. .. . .4500.00. Permit lr? 6447 on the side of Dart Hill Rd, Street Street No. 170 Owner Robert S. Leavitt Applicant Manchester Lumber Co. CERTIFICATE OF OCCUPANCY ISSUED: Date No. 3 701 Fee Paid $ 3.00 CLASSIFICATION Raise 24t of present house roof to construct 2 bedrooms and bath. BUILDING PERMIT N° 6447 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. July 1 South Windsor, Conn.3 ' 19 8 Tertif1j, e.taQhesteP L Or Ca• t t f That by S.V.Gil Ui&= is hereby granted permission to ? i f pre.-eat h:as a roof to Q WIa truc t 2 bedr i.ome and bat'ao at estimated value of 500 00 on the side of 170 Dart Hill Rd* Street on land owned by Robert S. Leavitt Said Work to be as described in Application No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issue July 11,-& C- a y Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." INSPECTION REPORT Permit # Job lzf 1 Footing 2 Foundation 3 Framing .1/3 dn a - 7S 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. TOWN OF SOUTH WINDSORPermitNo.SOUTH WINDSOR, CONN. Permit N? 3701 I Certificate of Occupancy M THIS IS TO CERTIFY that the Connecticut, has n the Town of South Windsor, Regulations of at No. n erected and completed in accordance with the Building uCode and Zoning been and is hereby approvedtheTownofSouthWindsor, Building Inspector I M gar, Builder 10 Date 19 Fee Paid Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. 3701N.Permit Certificate of Occupancy THIS IS TO CERTIFY that the1 at No. L n the Town of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. Building Inspector Gomm, Builder 1 Fee Paid Date 19 4306 ELECTRICAL APPLICATION Application No. ....4.6.1.7.................................................................. onthe......... ....... ..... ................................... ............... side of Dart HillHi.1.1....R.dl.*.................... .. Street Street No. .170 4' --'-*****...- '*""****...**' " '-*****"*" Owner Robert. S.L-eav-t.t.t....... .... . ... Electrician J.Martinellt FILED IN OFFICE OF The Building Inspector 772.67.6-8................... . . . ....... ....... .- INSPECTION. vrNo Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (it of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORII. No. . 46 W Permit No. 43 06 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH W INDSOR, CONN. hereby make application to. perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. South Windsor, Conn., ...... . `...z-... .. ... 19......' Sign here ... .. ............................ .......... ........... ........ ............ .... . Address i . .. ..t Location 7 0 :aw Side of ..................... .. . ................................................... ...................... .............. n Nature of Building U`e.S How many stories ......... New or old Building How many families .........../............................................................................... Kind of Installation C J1'v. .. .... ... ......... . How many Stores .................................................................................................... Owner .....a...............L.e., .V`T.... _........ ...... Address ........................................................................................................................ Architect .......... . ...... .............. .Address Builder 11/G -... G.h. Address 1 wl ...... ............. ............ ............................... Electrician 1....... (..p.v. . Address Q..57 // .................................................... Size of Main Wires .. ...................................................... No. of Light Loops .. No. of Heat Loops .. . ... .. No. of Power Loops ........................................ No. of Light Outlets ..... No. of Heat Outlets . . . ... No. of Power Outlets ........ No. of Light Circuits No. of Heat Circuits .. No. of Power Circuits ! . . . .. . . No. of S s No. of Heat Receptacles .... .. No. of Motors ............ ..... .... . .... ...... ecS_ No. of fanlbls . ... .... ... Size of Heat Circuit No. of Power Receptacles No. of Switches 31"Total Wattage Size of Power Circuit Total Horsepower No. of Straight Electric Fi tures .. .No. of Combination Fixtures .... No. of Receptacles No. of Cord Drops Remarks: For other kind of Installation . . .......... ......... . . ........ .............. . .. an.. ..... -. .............. .,ti ... .. a. ... . ..C` . ... .j 2 A/Zz..C ru. ./........ /Pc-s ... ....ls 4.... .z.... ` o o. :... ........................... Estimated Cost .... ........ ......... ....... . ...... 3 74o PLUMBING APPLICATION Application No. 3 529 on the _..._ side of Dart Hill Rd.S Street No. ..._.170 Owner Robert S. Leavitt Plumber Steve Wi sne ski Filed in Ofice of The Bg Iaspacmc 8-21-68 ly No person:ball coneon add m or altar my portion of the drainage aysoem of any bin except to repair lea6) omg a Plots grimed by the Building Ingmck r. lApplication No. ...... 352.9.. Permit No. ..................14.0.... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR. CONN. hereby make application to perform plumbing according to detailed description below. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be omplied with whether specified herein or not. South Windsor, ............ ......19 OW Sign here 4 Alz........C.0eddress ..........Location Ide of .................................................................................................... Street Nature of Buildin How many stones ......... Owner ..............1.t - .... - . . ........ Address ..........t7o.........o.A.Tery..L......... Architect . ................. ................... ........ ....... Address ...................................................................................................................... Builder L vNio?t.V Address ....0j... . ..... z....................................... Plumber ......... tn.................... Address ........N.,s2.0...:!%.....k//./-t`/-0..X.O.iZ............................ DRAINAGE CESSPOOLS, How many ........ .. Where located .. ................. ... ........................................................................ Are they water tight . .. . .......................... ....... ..... .. . ......... Of what materials are they built ............................. .................... Size of pipe from house to cesspool ........... ......... Kind of pipe ............... .................................................................................... MAINDRAIN IN CELLAR, Material ... .......... ............... Diameter .................................................................................................................. Aboveor below cellar bottom . .. .. ............................................................... ........................................................................................................................ SOILPIPES, Material ..... .............................................................. Diameter ....... ....................................................................................................... WASTEPIPES, Material . ....... ....................................... .. . Diameter ............................................................................................................. TRAPS,Type proposed to use is ... ...... ....... .... - .. ... ....................................................................................................................................... RAIN WATER LEADERS, where do they run to ........... ... ..................................................................................................................... REFRIGERATOR WASTES, where do they run to . ..... ... ............................................................................................... ............................... TANK OVERFLOWS, where do they run to FIXTURES WATER CLOSETS, How many .......... Where located r.7- 1.... Distance from trap to vertical soil pipe .................................... Pattern WASHTRAYS, How many .... .............................................. -. Where located . . ...... .......................... .............................................. SINKS, How many .................. ............................................................. .. Where located . .... ........................................................................ ... BUTLER'S SINKS, How many ........................................................ Where located. .. ................................................................................................. REFRIGERATOR SINKS, How many .. ................................... Where located .. ........ ................................................................................ C......................... Where located ..........................LAVATORIES, How many ....................1974 BATHTUBS, How many ...................6.-N...9............................... Where located ................................................................................................... URINALS, How many .................... .. ............... .................. ..... ... Where located . . ..................... .4........................................//............... Are water closets and urinals to be local vented If not, is there a window in outer wall of room where same re to be located I................ Estimated Cost .... 7205 ELECTRICAL APPLICATION Application No. 8219 on the side of Dart Hill Road Street Street No. _ 170 Owner Robert Leavitt Electrician Crimps Electric FILED IN OFFICE OF The Building Inspector Ant. 8 19 80 INSPECTION. 93),No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Bulldings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. llr4 il,!1-y CA`l APPLI TION FOR PERMIT TO DO ELECTRICAL WORK, lvo. . 8219 Permit No. . ....7.20.5....... .. . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application tq perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, BuiAIny,I,a,,s, shall complied with whether specified herein or not. South Windsor, Conn.,c AU. 19 Sign here Address O.I1C.c.... .. Q...4.. G / •,/ii Location pGl. G.... /Y'/,.wo o c Side of .. . . Nature of Building &.0-47 1 eel.7't 4 . . . .... How many stories ......... New or old Building How many families .. ............... ................................................................ Kind of Installation How many Stores ............................................................................................... Owner f-../G1.0.1'J.F...... ...... ... ....... Address ../. O....... a.! e....... ArchitectAddress . ... ............................................................................w..__....._....._._.... Builder . ........ .... Address Electrician 0p TM.........11.. ... .........W Size of Main Wires .. ................................................. No. of Light Loops .. ... ......... ... No. of Heat Loops . No. of Power Loops ........................._._..._..... No. of Light Outlets ......... No. of Heat Outlets . .. No. of Power Outlets ............. . ........... Nob of Light Circuits ... ..... . ...... . . No. of Heat Circuits . No. of Power Circuits .. .... .. . ..... .. . No. of Sockets No. of Heat Receptacles No. of Motors No. of Panels ...................... ..... .. .. .. Size of Heat Circuit No. of Power Receptacles No. of Switches ......... .. ..Total Wattage .... .. ..... Size of Power Circuit .. . . Total Horsepower No. of Straight Electric Fixtures .....No. of Combination Fixtures .. No. of Receptacles .................................. .......... .................... No. of Cord Drops ...... ............. .. .......................... ....... .... ... .. Remarks: For other kind of Installation .... /, -.:1.t..G..1°...............4—M J..C.................... .Gc.u. ... .....G IIZ.. /.... 410k.4i...........)AA ...............a..Id.............F-0..n...r/. ..........._. .v...{.d................r=.t...cz 0L.h..u...I-+ ..............1rl...ea...keps -A... .............. ................ .. _........................................................................................................ Estimated Cost. C D..-. ...... ......... ...... PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT v 7 4l Application is hereby : TOWN OF SOUTH WINDSOR APPROVED D SA OV BUILDING INSPECTION DEPT. 644-2511 Ext . 230 16-638 . A lication must bepp printed or typed. Date Building Inspect 1. LOCATION OF JOB 170 PfifT 1'`e FEE SCHEDULE No . Street 0 - $19000 - 10. 00 Floor Apt . No. Over $1 ,000 - 10 .00 per $1 , 000 or 2 . OWNER fraction thereof 3. ADDRESS -70 dSdfz ,z c 4. APPLICANT_ SWCA (IZ- F/ec7je-`'c 5 . ADDRESS,,9-5 GgtC-71( C 119 1 6. ESTIMATED COST $ 0 7 . IS THIS A CONTRACT COST Yes No 8 . FEE ENCLOSED $44 9 . TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB : 1/ Original Installation c Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB j:762 1 1- NO. STREET APT. NO,, 12 . TYPE OF INSTALLATION pt 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 MOTOR S_ 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 : 7-l'c- ZZI'qA-4-7 jo Y LICENSE NO . SIGNATURE OF APPLICANT DATE PHONE NUMBER: 45"-S 0",?