HomeMy WebLinkAbout25 Brook Street (4)PERMIT 0
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
1//9/
644-2511 Ext. 230
Da a ing Inspector Application must be printed or typed
1. LOCATION OF JOB
J:- >ao/-r _i PST"
FEE SCHEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No.
Over $1,0 0 0 - 10.0 0 P; S l) I/cYper $1 ,000 or 2. OWNER
fraction thereof
3. ADDRESS
4. APPLICANT Se 1 jr-c-d—c®-
5, A DD R E S S y q;GC>,`c-ee J/
6. ESTIMATED COST
7, IS THIS A CONTRACT COST t,
Yes No
8. FEE ENCLOSED $
9. TYPE OF BUILD G:
1 'ESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Ori final Installation
Iteration/Addition/Repair
RD 3A 11i88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB 7-7 flrc)c7,//T- S/ r ec7
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION lqO`l!
13 . SIZE OF MAIN FEEDER .'-S iN f %Q 19n1/
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 ZCAW 23. NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS '-- 25 . NO. OF MOTORS
26 . NO . OF PANELS t--- 27 . TOTAL WATTAGE
28 . NO . OF POWER FEEDER S— 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 :
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1 oti' q 7;aAli
09
LICENSE NO.SIG URE OF rfPLICANT DATE
P H 0141E NUMBER: ord Q Q