HomeMy WebLinkAbout250 Abbe Road (7)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:TOWN OF SOUTH WINDSOR
APPROVE DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext . 230
Application must be printed or typed .
Date B ding Inspector
1. LOCATION OF JOB
bo lqba _Q8
FEE SCHEDULE
No. Street
0 - $1 ,000 -10. 00 Floor Apt . No .
Over $1 ,0 0 0 -10. 00 Ckloarr,&I LL re aOper $1 000 or
2 . OWNER Dc3 n1e, • '4- 11.J
fraction thereof ft k+3. ADDRESS
S - ) t nAso r C!:4- Lzu D '-A
4 . APPLICANT I\ 1 1C C't 111 t-reeman
5 . ADDRESS g 6 Q - jgb)agjd
7 QtG 01 LI
6 . ESTIMATED COST
7 . IS THIS A CONTRACT COST
Yes No
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I L8 . FEE ENCLOSED $
9 . TYPE OF BUILDING :
RESIDENTIAL COMMERCIAL
10 . TYPE OF JOB :
SOriginal Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side )
11 . LOCATION OF JOB ,, 0 LA fin /
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
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
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LICENSE NO.SIGNATURE OF APPLICANT
Y
DATE
PHONE NUMBER: