HomeMy WebLinkAbout177 Benedict Drive (7)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERM-IT
Application is hereby: TOWN OF SOUTH WINDSOR
APPROVED ISAPPROVED BUILDING INSPECTION DEPT.
644-2511 .Ext. 230
f c Application must be printed or typed.
DA to Building Inspector
1 LOCATION OF JOB
C 4-.)e car, T ve-
FEE SCHEDULE
No . Street
0 - $19000 -10.00 Floor Apt . No.
Over $1 ,000 -10.00
2 . OWNER (f4t&j
per $1,000 or
fraction thereof
f 3. ADDRESS I?r
C.vr C 6.4.
4. APPLICANT o0e- ., c6 C
5 . ADDRESS riiv r f 7
6. ESTIMATED COST $ rSaa. 00
7 . 'IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $ 4,ao 0G
9. :?
RE
BUILDING:
SIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Iteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB / 7 toe g),C_ t- 4 j.L)Q-
NO . STREET APT. NO
12 . TYPE OF INSTALLATION S r C aA OA
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 OQ0db w4lf-31. SIZE OF POWER FEEDERS
32 . NO. OF FIXTURES 33 . TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
fL.d2!;,C 16 Q 40afa uL S C200 zgel4t,,2 -to-
101
S e fr• C
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
ti
Lpt
Building Permit
Temporary Service
manent -Service s
Pursuant to Permit No. 1
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
Owner C= 1 f Electrician 0
Street
Building Inspector