HomeMy WebLinkAbout25 Bidwell Road (15)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 1/ap/b
Application is hereby : TOWN OF SOUTH WINDSOR
APPROVED ISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext . 230
40z Application must be printed or typed.
at Build?iig Inspector
1. LOCATION OF JOB
2 t - 10eD
FEE SCHEDULE
No . Street
0 - $19000 -10.00 Floor Apt . No.
Over $19000 - 10.00
p $per $19000 or
2 . OWNER cS r ip co-
fraction thereof 3. ADDRESS c, C4A./1o,-ORst/ t4VC
4. APPLICANT 46 7rA54C`v
5 . ADDRESS_
Sd Vl lt/1'S0iP
aC
6 . ESTIMATED COST $
7 . IS THIS A CONTRACT COST y
Yes No
8 . FEE ENCLOSED $
9 . TYPE OF BUILDING:
RESIDENTIAL OMM E R C I A L
10 . TYPE OF JOB :
0 ginal Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB l 142CZ
NO. STREET APT. NO
12 . TYPE OF INSTALLATION C IX-
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 . 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 :
G
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: