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HomeMy WebLinkAbout25 FOSTER RD APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 3 di APPR v 1540 SULLIVAN AVENUE 10 ,� Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 o.STe 1at,1 (V,VOSv/Z Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT V11�, �12c�1�rcy¢( APPLICANT ADDRESS /Q .3 gyp} APPLICANT'S PHONE# (e)6 SVbr-S OWNER L)00, 7' OW N Sc OWNER ADDRESS �jfsrL iQ O OWNER PHONE y ESTIMATED COST$ /,�5 oe,. o 0 •� C� IS THIS A CONTRACT COST? --"'Yes No FEE ENCLOSED$ � TYPE OF JOB: ?j2a a O O 3 r i �SOR•CON New Installation t/ Alteration/Addition/Repair C)b12) Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A �� BUILDING PERMIT APPLICATION? ❑ YES XNO C7 RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE /D C7 SIZE OF MAIN CONDUCTORS -J�' 2-- NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS— NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. C i S4 / n DESCRIPTION OF WORK )-, p 1 o o 3 THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR- MANCE OF SUCH WORK 7 7- CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT ) DATE �I -7 /3 { t i PROP7,RTY Or VILLIA�l r - ,., ,-. 1 L. LO 1:T: SO?JiH j ` a 1 �A L. VL r 0 o -�- (,farm t• _ I j t �c o 1'. •�:. ` j9jmac-- t s• ? O.O, �•' `� ?s 'V,f M.5. M c I1o7 .6. 7--, T:? r p. tHER:RY CERTIFY THfT THIS MAP 1S ,J:.. .NTIALLY-CG•cRECT_ N �J n N 1300421 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 10/07/20131 GIS ID: 33300025 �' ¢ ' `"' *R FEE: 30.00 MUNIS APPLICATION# 201301393 BUILDING DESCRIPTION: APPLICANT „ }; LOCATION NAME: VIKING ELECTRICAI.E'CO.,INC. w,,_., ,,,�ADDRESS• 2k��S�ER ROAD ADDRESS: 193 DAY STREET .� .-`°L,OWNER BR,APL'I$MICHAEL J&KIMBERLY A NEWINGTON,CT 06 1 .,.}�°'^ ''', "' � ©S`fi✓R ROAD j+�'••yv -,: .� j '•,��.'"=` ';"" SOUTHjWINDSOR,CT 06074 DESCRIPTION OF WORK: 100 AMP-,$ VICE CHANGE.' CRS Or22b1003 SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDA°IyCE WITli TH APPLICATION AND L�"kPPROVED BY THE BUILDING DEPARTMENT. w_ � d CONSTRUCTION TYPE: ' OCCUPANCY GROUP: BUILDING OFFICIAL 10/7/2013 12:38 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE