HomeMy WebLinkAbout18 Alison Drive (9)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT IUD 60
Application is hereby :
TOWN OF SOUTH WINDSOR
APPROVED DISA _ D BUILDING INSPECTION DEPT.
644-2511 Ext . 230
Application must be printed or typed .Date Building Insp
1 . LOCATION OF /J')OB
p-A
FEE SCHEDULE No . Street
0 - $1 , 000 -10 . 00 Floor Apt . No .
Over $1 , 000 - 10. 00
per $1 ,000 or 2 . OWNER
fraction thereof
3 . ADDRESS /F- (!Ll-fGN /
S. wj r Osik Gr oG n u
4 . APPLICANT G,gL LLLi'I/1LLr
5 . ADDRESS
6 . ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Yes No
D
8 . FEE ENCLOSED
9 . TYPE OF BUILDING :
RESIDENTIAL COMMERCIAL
10 . TYPE OF JOB :
Original Installation
X Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB /,- WL)S0-l1 /-)/2 S. Y2
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION Wjr bOL
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 . NOo 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 —_J1,,— _
35 . REMARKS AND FURTHER DETAILS :
ly
LICENSE NO . SIGNATURE OF APPLICANT DATE
PHONE NUMBER:a,F- !--?/0'