HomeMy WebLinkAbout28 Amato Drive (19)PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby :
TOWN OF SOUTH WINDSOR
PPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext . 230
Application must be printed or typed .
tark Building Inspector
1. LOCATION OF JOB
I(;-
A 1 91' '
FEE SCHEDULE No . Street
a =
0 - $1,000 - 10. 00 Floor Apt . No.
Over $1 ,000 - 10. 00
per $1 ,000 or 2 . OWNER S c.9 a U4
fraction thereof
3. ADDRESS A-W
4. APPLICANT S"ji Caq-Lr
5 . ADDRESS I O Re 3G
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST y
Yes
8. FEE ENCLOSED $
9. TYPE F BUILD
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
T/Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side )
11 . LOCATION OF JOB d- ZS A-
NO. STREET APT. NO
12 . TYPE OF INSTALLATION d ,e k
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 :
Wi /' -eyA 2 eJl1^ ea L" ktI) C, I^
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: - 7 -F—D 76 S