HomeMy WebLinkAbout25 Blue Ridge Drive (12)DEPARTMENT DECISION APPLICATION
PERMIT 11
FOR ELECTRICAL PERMIT 7
Application is hereby:
TOWN OF SOUTH WINDSORAP:P]RO DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
Da a Building Inspector Application must be printed or typed.
1. LOCATION OF JOB
25 8.0 v46FEESCHEDULENo . Street
0 - $19000 - 10. 00 Floor Apt .- No .
Over $1 ,000 - 10.00
per $1 ,000 or 2 . OWNER Af,
fraction thereof
3. ADDRESS
4. APPLICANT i9,L 41AI
5. ADDRESS`2
cG f 2 ,C
6. ESTIMATED COST
7 . IS THIS A CONTRACT COST
Yes No
8. FEE ENCLOSED $
9. TYPE OF BUILDING:
k<ESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
lteration/Addit ion/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB S &- y 4f /@IDGC
NO. STREET APT. NO
12 . TYPE OF INSTALLATION
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
34o NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
2 d-o
dL
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: 6p f
4 36p