HomeMy WebLinkAbout251 Benedict Drive (2)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT /jJ
Application is hereby:TOWN OF SOUTH WINDSOR
APPROVEDDISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
Application must be printed or typed.
bate Building Inspector
1. LOCATION OF JOB
FEE SCHEDULE No . Street
0 - $19000 -10. 00 Floor Apt . No.
Over $1,000 -10.00
per $1 ,000 or 2 . OWNER itl '77Z7
fraction thereof
3. A D D R E S S
S-b v — GtJ-vim So/L
4. APPLICANT t-
5 . AD D R E S S
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $ 4aek
9 . TYP OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
0 iginal Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB a2.S—/ 1,?eAl"/G
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 :
D
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: