HomeMy WebLinkAboutBuilding 11 Arthur Drive (8)PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVE DISAPPROVED 1540 SULLIVAN AVENUE
J 644-2511 Ext . 230
Da a Building Inspector Application must be printed or typed
1 . LOCATION OF JOB .#//a3
11- 3 gR'KvA PRIVY
FEE SCHEDULE
No . Street
6/t575M6NT 11- 3
0 - $1 .000 - 10.00 Floor Apt . No.
Over $1,000 - 10.00
2 . OWNER 05 EPtt f`I R1NU
per $1 ,000 or
fraction thereof
3. ADDRESS /35'60 /flfTt- L441E
4 APPLICANT JOSCd°t1 J e R rvv
5 . ADDRESS 13.560 tf/tr& ,4AIL-
5/t,v Di Ecz0 , cr1 L 9a /a 9
6. ESTIMATED COST $ r7L'j 6G
7 . IS THIS A CONTRACT COST X
Yes No
8. FEE ENCLOSED $ /'U
9. TYPE OF BUILDING%
C RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB i /- 3 lz i Ht/A pAI L/E
NO . STREET APT. NO ,
12 . TYPE OF INSTALLATION /DD I 416I HTS /9/UP (4'-jyZ1_ our). tTS
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 /VZOlAjt
35 . REMARKS AND FURTHER DETAILS :
R P,T/ Ti o 41,C- Tff L- / , 5 ,1-#4 L/1/ T Lv l c`!/ CANE /t D 7/7'1v Al X
T Ci ,2C o Tov2 H)'j- 0L)T -r ? erizcviTs
l v tT l-( A/D L) T 1, i
Y A?A
LICENSE NO .SIGNATURE OF APPLICANT DATE
PHONE NUMBER: