HomeMy WebLinkAbout226 Abbe Road (13)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:
I TOWN OF SOUTH WINDSORAPPROVEDDISAPPROVEDBUILDINGINSPECTIONDEPT.
644 -2-)11 Ext. 230
Date Building Inspector
Applications must be printed or typed.
1. LOCATION OF JOB
sac k?C-1
FEE SCHEDULE No. Street
Floor Apt. No.
0 - $1,000 - 10.00
Over $1,000 - 10.00
2. OWNER w
per $1,000 or
3. ADDRESSfractionthereof
4. APPLICANT 7;rtoA /f-/,a;AW//e --
5. ADDRESS____,q ' T
ACTUAL COST $ FEE $ 6. ESTIKITED COST $ U y• 0
ESTIMATED COST $_ FEE $ 7. IS THIS A CONTP-AC1' COST? C3 YES CrNO
FILE COMP. BY BALANCE $ 8. FEE ENCLOSED $
9. OF BUI LIII'\C.:
rff7_q' Rf.SIDEN1'TAi COISIERCIAL
10. IYPE OF J(,O(R:
ORIGINAT, ALTEP.ATION
NSTALI AT TON Q ADDITION
REPAIR
APPLICATION FOR ELECTRICAL Pf,8MM(Continued icom i:everse Sine)
11. LOCATION OF JOB
NO. STREET/ FLOOR APT. NO.
12. TYPE Of INSTALLATION f p(>q_n.-_ c'fooA. 4- ff W 1 N
13. SIZE OF MAIN FEEDER
14. NO. OF LIGHT LOOPS / 15. NO. OF HEAT LOOPS 16. NO. OF P(w.!EZ LOOPS
17. N0. OF LIGHT OUTLETS_ 18. NO. OF HEAT CIRCUITS 19. NO. OF POWWER 0,;'11.:':'S
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 '10TORS
26. NO. OF PANELS__ 27. TOTAL WATTAGE 28. NO. OF POWZR PANELS_
29. NO. OF SWITCHES_ —30. A/C LOAD 31. SIZE OF POWER FEEDERS_
32. NO. OF FIXTURES_ 33. TOTAL HORSEPOWER
34. :TAMES OF SUBCONTRACTORS AND THEIR TRADES
35. REMARKS AND FURTHER DETAILS:
L2 5-0—5—e r-
LICENSE. NO. GNATURE OF LICANT
P7
DATE
PHONE NUMBER: 0