HomeMy WebLinkAbout191 Bourbon Street (10)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT _ 7 W)
Application is hereby:TOWN OF SOUTH WINDSOR
APPROV DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
r! Application must be printed or typed.
Date Building Inspector
1. LOCATION OF JOB
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FEE SCHEDULE No. Street
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0 - $19000 -10.00 Floor Apt . No.
Over $1,000 -0.00
2 . OWNER IAOy ,<,P.-V D 2_Per $1 00 or
fraction thereof
3. ADDRESS c•Q,Qc.c),
4. APPLICANT
5 . ADDRESS
6 . ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Y s N -
8 . FEE ENCLOSED $
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9 . TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
7CAlteration 4EiionPepair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB 4??b vR-AscyJ S' . 2, ZJ4as le ,
NO . STREET APT. NO
12 . TYPE OF INSTALLATION 4jop -7—fl p,J
13 . SIZE OF MAIN FEEDER OO
14 . NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS f4
16 . NO. OF POWER LOOPS / 17 . NO. OF LIGHT OUTLETS__(
18 . NO. OF HEAT CIRCUITS C± 19. NO. OF POWER OUTLETS Q
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 QS
26. NO. OF PANELS 27 . TOTAL WATTAGE
28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES_
30. A/C LOAD 0 31. SIZE OF POWER FEEDERS
32 . NO. OF FIXTURES_33 . TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
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LICENSE NO.SIGN 4RE 0 APPLICANT DATE
PHONE NUMBER: 4 gl