HomeMy WebLinkAbout25 Bidwell Road (18)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 13 06
Application is hereby :
TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext . 230
Application must be printed or typed.
Date ing Inspec or
1 . LOCATION OF JOB
FEE SCHEDULE No . Street
0 - $1 , 000 -10 . 00 Floor Apt . No.
Over $13,000 - 10 .00
2 . OWNER Cper $1 ,000 or
fraction thereof
3. ADDRESS
Ou 1.1) fPSaA0,
4 . APPLICANT L`'( &)&,50k,
S . ADDRESS r- Sfij
6. ESTIMATED COST $ ,5 73 V
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $ tole
9. TYPE OF BUILDI
RESIDENTIAL y COMMERCIAL
10. TYPE OF JOB :
Or Installation
Alteration/Addition/Repair
BD 3A 11 /RR
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION 12j r f'1t,2 `Mlle
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 . N0 . OF HEAT CIRCUITS
22 . NO. OF POWER CIRCUITS_Z_ 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 :
r
LICENSE NO . SIGNA RE OF APPLICANT DATE
PHONE NUMBER: