HomeMy WebLinkAbout1970 John Fitch Boulevard (7)DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR
PERMIT#
APPRO
s'BUILDING DEPARTMENT
1540 SULLIVAN AVENUE Bldg.Permit#
G 644-2511 ext. 230 02
Date Buil Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
j q 7 y 1A LkD
0-$1,000=$15.00 Street o. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS
APPLICANT PHONE#
III OWNEROWNS 11/ / Y'
q< OWNER ADDRESS
O4 OWNER PHONE_ (' .< VZ17
C ESTIMATED COST$
U
IS THIS A CONTRACT COST? es No
FEE ENCLOSED$
TYPE OF JOB:dSOR,C011 N w Installation
Alteration/Addition/Repair
3
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED ITH A
aliBUILDING PERMIT APPLICATION? YES NO
SIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL
INSTITUTIONAL
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
F?
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
ON CTORS LICENSE NO. T E STATE
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DATESIGNATUREOFAPPLICANT
R
LeVasseur Electric & Const. LLC
353 Main St * Terryville, CT 06786
860)583-5207
State Registration No. 00559062
Lic. No. 00181633 Lic. No. 00180564
April 10, 2003
Building Department,
Please be informed Fran Niland is a representative of LeVasseur Electric& Construction
LLC and has permission to pull an electrical permit for the following job:
Crumbie, Paul&N'Marie
1970 John Fitch Blvd.
South Windsor, CT 06079
Description of work to be performed:
Wiring of inground swimming pool per 1999 N.E.C.
1) 110 Volt pool light
1) 110 Volt spa light
1) 220 Volt pump and time clock
1) GFI Receptacle
1) Single Pole switch
Thank you,
Peter J. LeVasseur
Member
ELECTRICAL UNLIMITED CONTRACTOR
PETER J LEVASSEUR
353 MAIN ST
TERRYVILLE,CT 06796
TYPE: El
UCJREG NO. EFFECTIVE EXPIRES
180564 10/01/2002 09/30/2003
SIGNED r