HomeMy WebLinkAbout259 Benedict Drive (11)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:TOWN OF SOUTH WINDSOR
PPROVE DISAPPROVED BUILDING INSPECTION DEPT.
A 644-2511 Ext. 230
Application must be printed or typed.
Date Buil ing Inspector
1. LOCATION OF JOB
FEE SCHEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No.
Over $1,000 -10.00 lie
p e r $1 ,0 0 0 o r 2 . OWNER D.eL t, tl'vCfi e
fraction thereof 3. ADDRESS 251
4. APPLICANT -5-004 F
5 . ADDRESS S' '''
6. ESTIMATED COST $ y-
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $ 10 %.e
1-pr_Z1'0/
9. TYPE OF BUILD G:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB r5l
NO. STREET APT. NO
12 . TYPE OF INSTALLATION 6 J G V
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 :
LICENSE NO.SIGIkTURE OF APPLI T DATE
PHONE NUMBER: /t",7 -//~ 7-s;O