HomeMy WebLinkAboutBuilding 11 Arthur Drive (9)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
MA-644-2511 Ext . 230
gatle ing Inspector Application must be printed or typed -
1 . LOCATION OF JOBAR-I
oId 1I /0"o Ie-
FEE SCHEDULE N treet
0 - $1,000 -10.00 Floor Apt . No.
Over $1,000 -10.00
p e r $1 ,000 o r 2 . OWNER t v t - -v (ram fie+ lc.,
fraction thereof
3. ADDRESS Ld?.SD U c' *Yl (
k
411 111 oho 2
5 . ADDRESS
n I!e
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Yes No
8. FEE ENCLOSED $ /d, vVia
9. TYPE OF BUILDING%
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
Z—Alteration/Additi n/Repair
BD 3A 11 i88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB _Rjcj // Ps p 4 „ a' Milee
NO'. STREET APT. NO ,
12 . TYPE OF INSTALLATION tea - G_iScz.11Z—1
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 :
LICENSE NO.SI URE OF ArPLICANT DATE
PHONE NUMBER: oS-I- 7,//7•"
INSPECTOR r g DATE TIME
LOCATION
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTR
1
PLUMBING:
HVAC:
OTHER: