HomeMy WebLinkAbout178 Abbe Road (11)PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
Date Inspector Application must be printed or typed
1 . LOCATION OF JOB
11S Ar' ABBE- -RL)A
FEE SCHEDULE No . Street
g05{y01-6,.
0 - $1 .000 - 10.00F`loor Apt . No.
Over $1 .000 -10.00 11 y 1
per $1 ,000 or 2 . OWNER nc;(T 11 / _
fraction thereof
3. ADDRESS
Sa. LAD I nc1SN- CT- (DC007 y
4. APPLICANT e I &)j )X,' q
5 . ADDRESS S55
So -cA31nascKIC - O N
6. ESTIMATED COST
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration/Additi n/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB
NO. StREET APT. NO ,
12 . TYPE OF INSTALLATION jef,h-pc. 51fev (Ge
13 . SIZE OF MAIN FEEDER 100 amp , se o f c e
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
R UX f-L fC4-f(C ` C,tc-C' l C 14 0
35 . REMARKS AND FURTHER DETAILS :
10 0 o&
P;I-c O ew Vlcnm'e—
LICENSE NO.SIGNATURE OF APPLICANNT DATE
PHONE NUMBER: & VzD(S/