HomeMy WebLinkAbout25A-25L Amato Drive (9)PERMIT u
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
i
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
Date B g Inspector Application must be printed or typedI
1 . LOCATION OF JOB
D
FEE $CHEDULE
No . Street QL)hh_ 0607Y
f
0 - $1 ,000 - 10.00
Floor Apt . No.
I
Over $1,000 - 10.00
per $1 ,000 or
2 . OWNER
fraction thereof
3. ADDRESS
4 . APPLICANT Bar l PIS lee7/71c
5 . ADDRESS
S \nl )ndsoaL C4 O 6U S q
6. ESTIMATED COST $ ® , O O
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED
GK
9. TYPE OF BUILDING:
v RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
RD 1A 11 /88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB p S / p/y D/I S, W n s0t2 Q6J7Ll
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 :
Sw c'S 1
LICENSE NO.SIGNATURE OF AA`PPLICANT DATE
PHONE NUMBER•