HomeMy WebLinkAbout18 Bissell Court (4)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT l 7
Application is hereby :
TOWN OF SOUTH WINDSOR
APPPROVEDISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext . 230
Application must be printed or typed .
a Me Buildin Inspector
1 . LOCATION OF JOB
A- .fs ti/'t
FEE SCHEDULE o . Street
0 - $19000 -10. 00 Floor Apt . No .
Over $19000 -10.00
p e r $1,0 0 0 or 2 . OWNER r/ ii o
fraction thereof rp
3. ADDRESS
4. APPLICANT
5 . AD D R E S S .-'5-'70
rd a2E- - i y•1,2 S6 /k--
6. ESTIMATED COST $ c;1'70
7 . IS THIS A CONTRACT COST
Ye No
8 . FEE ENCLOSED $
9 . TYP OF BUILD G:
RESIDENTIAL COMMERCIAL
10 . TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB
NO . STREET APT. NO
12 . TYPE OF INSTALLATION 4-")/'`?
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 . N. O . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
20. NO. OF CONVENIENCE OUTLETS / y 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 Q
30 . A/C LOAD 31. SIZE OF POWER FEEDERS
32 . NO. OF FIXTURES_Z.!5L 33. TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
71cf
LICENSE NO .SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
T - -•'__^• }_•' - '--`--T" __.- e. r----_ _-- ••-®-a-..-"l ."_ YF'R_,...n _....q_ _'sn_ -. ,...--•-•--...i' ,r"-_-,;.,_.p...._7,.'+
Lot No.
Building Permit
Temporary Service
1 --
Permanent Service
Pursuant to Permit Na
This Certifies that the Electrical Work for which the above named Permit was grant d
has been duly inspected and is hereby approved.
Owner c s Electrician T 0 m n i C e
Street
I s L
Building Inspector