HomeMy WebLinkAbout206 Bourbon Street (15)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 1/ 3(vk
Application is hereby:
APPROVED
TOWN OF SOUTH WINDSOR
DISAPPROVED BUILDING INSPECTIQN DEPT.
644-2511 Ext. 230
co 4 Application must be printed or typed.
Date Bui d ng Inspector
1. LOCATION OF JOB
O V-%, s .-
FEE SCHEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No.
Over $1 ,000 -10.00
I
Per $ ,000 or 2 . OWNER1
fraction thereof
3. ADDRESS
5 . st, r
4. APPLICANT
5 . AD D R E S S
6. ESTIMATED COST
7 . IS THIS A CONTRACT COST
Yes N
8 . FEE ENCLOSED $
iO
9. TYPE OF BUILDING:
ESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
O_r,iginal Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB 206 3
NO * STREET APT. NO
12 . TYPE OF INSTALLATION
13 . SIZE OF MAIN FEEDER
14 . NO . OF LIGHT LOOPS _ "-— 15 . NO. OF HEAT LOOPS
V-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
35 . REMARKS AND FURTHER DETAILS :
C
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: L (-(—az ,