HomeMy WebLinkAbout171 Bourbon Street (7)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT A
Application is hereby:
APPROVED
Zul
TOWN OF SOUTH WINDSOR]
BUILDING INSPECTION DEPT.
644 -2311 Ext. 230DategInapeco
Applications must be printed or typed.
I. LOCATION OF JOB
l;/ /d2 5
FEE SCHEDULE No. Street
Floor Apt. No.
0 - $19000 - 10.00
Over $1,000 - 10.00 2. OWNER C 6 i2 EQ1e 14T/o n/ .moo- 'ND'Oc•,c3 F/
per $19 000 or L vi
fraction thereof 3. ADDRESS 3 S p (Z .DR.J
4. APPLICANT__L _iyr
5. ADDRESS_-6- 7 O d S 7TC
ACTUAL COST FEE $ 6. ESTIMATED COST $ 'O 0 0
ESTIMATED COST $
i FEE $ 7. IS THIS A CONTPLACT COS ? 10 YES Q NO
FILE COMP. BY BALANCE $8. FEE ENCLOSED $
9. ff'`RESTDENTTAI,OF BUI LDINO:
13 C0 tERCIAL
10. TYPE (IF J«l):
XI G I NA L TERA'f ION
1VSTA1.1,ATT0N t1DDITIOh
REPAIR
APPLICATION FOR ELECTRICAL- Pffaff(Continued from icevarse Side)
11. LOCATION OF JOB / / o Ci /Qo of s- T
NO. STREET FLOOR APT. NO.
12. TYPE OF INSTALLATION
13. SIZE OF MAIN FEEDER
14. NO. OF LIGHT LOOPS 15. NO. OF HEAT LOOPS 16. NO. OF P('iqRR LOOPS
17. NO. OF LIGHT OUTLETS :gO_ 18. NO. OF HEAT CIRCUITS 19. NO. OF POWER
20. N0. OF CONVENIENCE OUTLETS__qU1. NO. OF HEAT CIRCUITS_ 22. NO. OF POWER CIRCUITS`
23. NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25. NO. OF ;,IO:ORS
26. N0. OF PANELS 27. TOTAL WATTAGE 28. N0. OF POWER PANELS
29. N0. OF SNITCHES a 30. A/C LOAD 31. SIZE OF POWER FEEDERS_
32. NO. OF FIXTURES 0 33. TOTAL HORSEPOWER
34. NAMES OF SUBCONTRACTORS AND THEIR TRADES
35. REMARKS AND FURTHER DETAILS:
T/" ` , 7rc-) a e
If
LICENSE;NO. SjmATURE OF APPLICANT Imaz
PHONE NUMBER: