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Fleetsieal Peemit Na
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TOWN OF SOUTH WINDSOR Building Permh Noy .
BUu.DU4G DEPA,rM04T Date FUed
Date F al Approval
APPLICATION FOR ELECTRICAL WORK
Gro•�S �
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OB LOCATION: CP - JOB OWNER: .�G
_...._......_... Side of ..........___ Between ._ and
Name of Building Owner .� � �� _•= Address ZO-s ..�•v.r'i. �tw��'s�'�`� •
If w rk is for Lessee-wive name .-._._._ .. - Address
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Building n occupied as (=ales: new) Na off units now
ow
Buildia to be occupied as ::111a(3 i���' I-c2 - Number of family m9ft to be
Is this work included in a Building Permit? ,,clLQ _ Permit Fie
f,� :/� .��.�.., - BA .�s ����; .Tea�a. S'UrG.1—
Permtttes
COST OF INSTALLATION:
_
:
TO BE mm an ST PSRhtI'r =
TO BE. WIRED G APPLUMM
Number of light outlets to be installed Number of present Appliance Greuila
Number of convenience outlets to be installed __........_... _ ..
Number of switches to be installed Do these include Ran
g• ❑ Water ❑
Number of sppiisaces to be installed --••••
(as tiwt.d WNW Dryer ❑ Air Conditioner ❑ Oil Burner ❑
TYPE RAMiG NO.
Dish Washer ❑ Gas Burner ❑
Range . . . . . . . . Well P= ❑ EZet Heaters ❑
P'sw Top . . . . . .
O"M . . . . . . . •
Water Heater —
Clothes Washes l f �Q thes Dryer . .
Dish Washes . . .
Air Conditioning Motor .
OB Burner Rotor . . . .
Gas Burner . . . . . .
Qre=latoT M for . . . .
Attic or Large Fan
Well Pump
Electric Heat . . . . .
Other . . . . .
Number of new Lighting Circuits .
Number f new Appliance Circuits . . .
Number of Has ' Circuits .
Number f Motorreuits .
sin of
Sire of to be / y