HomeMy WebLinkAbout21 Apple Tree Lane (7)PERMIT U
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT I`
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
d /V 644-2511 Ext . 230
Date ng Inspector Application must be printed or typed
1 . LOCATION OF JOB
FEE SCHEDULE No . Street
0 - $1 .000 - 10.00 Floor Apt . No.
Over $1 .000 - 10.00
per $1 .000 or
2 . OWNER RoOr
fraction thereof 3. ADDRESS 1<
4. APPLICANT
5. ADDRESS 40U
6. ESTIMATED COST
1 . IS THIS A CONTRACT COST
Yes No
B. FEE ENCLOSED $ lP 0 P
9 . TYPE OFOF BUILDINGi
iceSIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
A lteration/Additi n/Repair
I RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB v-1 kg>LE
NO. STREET
C-
APT. NO ,
12 . TYPE OF INSTALLATION DO ,der.,
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. N0. 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 :
ALL
LICENSE NO .SIGNATURE OF APP A DATE
PHONE NUMBER:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
96-13887-E S00
E01 SERVICE 04/17/96 RAN A CUP NOTIFIED
Total Est Value S00
7 T.
1-b I
INSPECTOR DATE imj?
LOCATION L
INSPECTION: CODE: RESULT(P/A) :
BUILDING:
ELECTRICAL:
7
PLUMBING:
HVAC:
OTHER: