HomeMy WebLinkAbout26 Ahern Drive (8)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT f l
Application is hereby :
TOWN OF SOUTH WINDSOR
APPROVED 0 E BUILDING INSPECTION DEPT.
644-2511 Ext . 230
Application must be printed or typed .
Date Building Inspect
1 . LOCATION OF JOB
1G d &r, , ' N DR
FEE SCHEDULE No . Street
0 - $1 , 000 - 10. 00 Floor Apt . No .
Over $1 ,000 - 10 . 00
2 . OWNER vh C(ZS a !U ' L 7 ( (c 6
per $1 ,000 or
fraction thereof
3. ADDRESS E fl =- IQ IV
So l, ( (V D Sd
4. APPLICANT tLI6=
5 . ADDRESS
6. ESTIMATED COST
7 . IS THIS A CONTRACT COST v
Yes No
8 . FEE ENCLOSED $ l O
9. TYPE OF BUILDING :
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
yAlteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side )
11 . LOCATION OF JOB 2 G 6 1-( 43R by
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_ 'r
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS /0
20. NO. OF CONVENIENCE OUTLETS 21 . NO. OF HEAT CIRCUITS
22 . NO. OF POWER CIRCUITS 4! 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 ./0-3
32 . NO. OF FIXTURES 33 . TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
LICENSE NO.SIGNATURE OF/ APPLICANT DATE
6PHONENUMBER: q —t 3 6d`,