HomeMy WebLinkAbout269 Abbe Road (2)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT O?
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.PP ROVED DISAPPROVED
644-2511 Ext . 230
z= - 4 Application must be printed or typed .
Date BujAding Inspector
1 . LOCATION OF JOB
4 A6 b q
FEE SCHEDULE No . Street
0 - $1 , 000 -10.00 Floor Apt . No.
Over $1 ,000 - 10 .00
per $1 ,000 or 2 . OWNER /4K.5 /O l--
fraction thereof
3. ADDRESS SXlp1r
4. APPLICANT —66tLQ Ta«-
5 . ADDRESS ie
6 . ESTIMATED COST $ Do ,
7 . IS THIS A CONTRACT COST
Y e s N
1
8 . FEE ENCLOSED $ AP
9 . TYPE OF BUILDING:
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 ;,6 ( Ab4, «,/
NO . STREET
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0
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APT. NO
12 . TYPE OF INSTALLATION vile- P /V i /`d dit % 7 rc h`ea7`-a e-- G
13 . SIZE OF MAIN FEEDER - 4ly,
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 :
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LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: _" ),