HomeMy WebLinkAbout25A-25L Amato Drive (7)PERMIT it
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby :TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext . 230
f
Application must be printed or typed
to Building Inspector
1 . LOCATION OF JOB
Z5- 1-141-V bR
FEE SCHEDULE No . Street
0 - $1 , 000 - 10 . 00 Floor Apt . No .
Over $1 , 000 - 10 . 00
2 . OWNER
per $1 , 000 or
fraction thereof
3 . ADDRESS 0K,
S ., vi N p S d X.
4 . APPLICANT
5 . ADDRESS
6 . ESTIMATED COST $
7
7o IS THIS A CONTRACT COST
o
Y s
8 . FEE ENCLOSED $
9 . TYPE OF BUILDING :
2- F1
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 Zf A/7A"
NO . STREET APT. NO
12 . TYPE OF INSTALLATION
13 . SIZE OF MAIN FEEDER 1-
14 . NO . OF LIGHT LOOPS d 15 . NO. OF HEAT LOOPS
16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS
18 . NO. OF HEAT CIRCUITS 1 19 . NO. OF POWER OUTLETS
20 . NO. OF CONVENIENCE OUTLETS ° 21. NO. OF HEAT CIRCUITS t
22 . NO. OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS I
24. SIZE OF HEAT CIRCUITS fL 25 . NO. OF MOTORS
26 . NO. OF PANELS P 27 . TOTAL WATTAGE ,
l
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 FURTHFR DETAILS :
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: —? 3 G 50