HomeMy WebLinkAbout145 Benedict Drive (4)PERMIT a
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 3
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
A '644-2511 Ext . 230
ate g Inspector Application must be printed or typed
1 . LOCATION OF JOB
J q:j Dq-
FEE SCHEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No.
Over $1.000 - 10.00
2 . OWNER a
per $16000 or l the tIS
fraction thereof
3. ADDRESS )L4,5 or
4. APPLICANT 11i hQ
S• ADDRESS j 4 ChCd+cf or
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST
as o
So FEE ENCLOSED $
9. TYPE OF BUILDING=
RESIDENTIAL COHMP.RCIAL
i
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
AD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB f Lj!j i f 17
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION P dnL
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. N0. OF POWER OUTLETS o
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 :
I ifY l)(A i u -r 6i ,
LICENSE NO .SIGNATURE OF APPLICANT DATE
PHONE NUMBER: