HomeMy WebLinkAbout15 Blueberry Circle (8) i0 a
ELERTRIRAL APPLIGATM
Application No. i i 7G 3
on the A&of
t SU"
Strcct No. f�.•
Owner RZ
Electricks :: 72�,SFA ��C%�/G
FILED IN OFFICE OF
The Building Uvectsr
/ 19
I1VBPtfrGrioN.
s+No Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
in New Buildings no wiring shall be started
until the plumbing and heating pipes, and the Are
stops lit of wood) are installed. without a special
permit from the oAMe of the Building Inspector.
1
Electrical Permit N&
Master License No:
TOWN OF SOUTH WINDSOR Building Permit No. �'/9I.
r
BUILDING DEPARTMENT
Date Filed
Date Final Approval
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector .
OB LOCATION: ....��...tl.V _ ��'..Rv� JOB OWNER• .w ��/._._.��tx�► S
...................... Side of ......................._................... ............. Between ._........................... and
Name of Building Owner ........ ...�1._ ,z_6 5'. .._...._... Address
If w rk is for Lessee--chive name ...w.._._........... Address
Building now occupied as (unless ) ...._.... ... ...._. _........_........ ._._........ No. of family units now
Building t be occupied as ! ?.� ....�. .. Nunber of family units to be ..........1_.._...
Is this work included in a Building Permit? ..._....,!`�'�....._. Permit Fee .......!!.�......
(If no Build dP
Permittee Business
COST OF INSTALLATION: ............._..._�...... �...��� .
TO BE FILLED OUT BY PERMI'ITEE
TO BE WIRED EXISTING APPLIANCES
Number of lt tls to be installed
Number of con enn nee outlets to be installed .............. . ..µ.. Number of present Appliance Circuits ._._...
Number of switches to be installed . . • .. ........ Do these include Range ❑ Water Heater
Number of appliances to be installed . . . ...__....._-------....
(as listed below) Dryer ❑ Air Conditioner ❑ Oil Burner ❑
TYPE RATING NO.
Dish Washer ❑ Gas Burner ❑
Well Pump ❑ Eiec. Heaters ❑
Range T p . . . . .
Oven . . . . . . . . REMARKS.
Water Heater . .
Clothes Washer . . .
Qothes Dryer . . . . .
Dish Washer . . . . . .
Air Conditioning Motor
CHI Burner Motor . . . .
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan ,
Well Pump . . . . .
Electric Heat
Other . . . . . . . .
Number of new Lighting Circuits .
Number of new Appliance Circuits . . .
Number of Heating Circuits . . . . .
Number of Motor Circuits . . . . . .. .
Size f present gervice �__�._...-.�••
Size f service to be ._