HomeMy WebLinkAbout223 Brookfield Street (13)PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Z)5G
Application is hereby:
TOWN OF SOUTH WINDSOR
APPROVED D P VED E3UILDINC; INSPECTION DEPT.
644-2j11 Ext. 230
N
Date Building Inspecto Applications must be printed or typed.
1. LOCATION OF JOB
S r &j1 wD p
FEE SCHEDULE No. Street
Floor Apt. No.
So - $1,000 -10.00
2. OWNER A7 J?Over $1,000 -10.00
per $1,000 or
3. ADDRESS Aaa,fraction thereof
F
7
I 4. APPLICANT
1
5. ADDRESS______
ACTUAL COST $ FEE $ 6. ESTIMATED COST S 2C?o ,X
ESTIMATED COST $ FEE $ 7. IS THIS A CONTPLACT COST? YES Q NO
FILE COMP. BY BALANCE $ 8. FEE ENCLOSED
9. OF BUI LDIN-:
RESIDENITTA . Q COMIMERCIAL
t 1.0. TYPE 01 J()u:
0XIGENAT, ALTEP.ATIONE3INSTr' LLATTO)'v ADDITION
REPAIR
APPLICATION FOR ELECTRICAL P61QA r(Continued tcum Keverse Side)
11. LOCATION OF JOB 'x ,c)r0 I yuOlczlo j2T,
NO. STREET FLOOR APT. NO.
12. TYPE OF INSTALLATION_4
13. SIZE OF MAIN
14. NO. OF LIGHT LOOPS 15. NO. OF HEAT LOOPS 16. NO. OF PfiORR LOOPS
17. NO. OF LIGHT OUTLETS_ _ 18. NO. OF HEAT CIRCUITS_ 19. NO. OF POWER
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 'Mr,"ORS
26. NO. OF PANELS 27. TOTAL WATTAGE 28. NO. OF POWER PANEMS
29. NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS_
32. NO. OF FIXTURES 33. TOTAL HORSEPOWER
34. NAMES OF SUBCONTRACTORS AND THEIR TRADES
i Lo w vx/Z1
35. REMARKS AND FURTHER DETAILS:
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LICENSE;NO. SI TURE OF-APPLIOMT DATE