HomeMy WebLinkAbout250 Abbe Road (9)PERMIT 11
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
Z Zl A 644-2511 Ext. 230
Dat Inspector Application must be printed or typed
1 . LOCATION
Q
OF J O B
FEE SCHEDULE No . Street
sv,-_ rlcl
0 - $1 ,000 -10.00 Floor Apt . No.
Over $1,000 - 10.00
per $1 ,000 or 2 . OWNERZ/E
fraction thereof
3. ADDRESS TI
y
c
r
bo/
24. APPLICANT
5. ADDRESS
7
6. ESTIMATED COST $ (
7 . IS THIS A CONTRACT COST,
a
1
Y
414
NM
8. FEE ENCLOSED $ (
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
7ZAlteration/Addition/Repair
80 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
L11 . LOCATION OF JOB
NO. ST,,ET APT. NO ,
12 . TYPE OF INSTALLATION /776114 e '<
13 . SIZE OF MAIN FEEDER _7 S FCJ
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 . NOa 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 :
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LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: &qz 6z-1
b_
Lot NE.
Building Permit-1 0
Temporary Service
Permanent Service
Pursuant to Permit Na
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly Inspected and Is hereby approved.
owner ^ t '(''?S r"r ''J" Electrician
Street
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