HomeMy WebLinkAbout16 Blueberry Circle (4) ELEITRIGAL APPLICATION
Application M. 1)S4 2)
a tree rise
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so=$ No. _ /d
OwnerAk�IED �2 c
Electrician f-R-A9 K. M cDT iIa4
FILED IN OFFICE OF
The Built ing Itt"aw
J „�U
si No Electrical work sbaN be started until a per.
mit is granted by the Building inspector.
In New Buildings so wiring abaN be parted
until the plumbing and beating pipes, and the&a
stops lit of wood$ are installe4 witWmt a special
permit from the oSee of the Building Inspector.
Electrical Permit Na _ /y U 3 g
• Master License No. ! 9 6 G
TO OF SOUTH WINDSOR Building Permit No. —J-L..�-�
Date Filed •
BUILDING DEPARTMENT Date Final Approval
APPLICATION FOR ELECTRICAL WORK
OB LOCATION: ..........�!8 8/u e�a.RR j08 OWNER: .�.,��� d �/c��tS • --
...................... Side of ................_............................_...... etween ._....__.._...............w..._.................. _....._ and
li �..:��b_�0 ......__...._ - Address
Name of Building Owner •••-�•-• - -'
If work is for Lessee•-�sive name .._.._.-........•�-••... �--r----..-.-•------�----••-- dress
Building now occupied as (unless new) _ No. of fsmdy tutus naw --
B to be ccupied as A is ' d "'G e -•r Number of family units to be
uildiag --------
Is this work included in a Building Permit? .._....4-S g..•••...- Permit Fee
(If no DGUieg Peewit) Nw Sa2 q-3oo
C Business Address 6 T w R°d y TbO°e
Permittee �._.�.�._.. r......_......._........_......�.... w e.�t ti. c 0 610 9
COST OF INSTALLATION: _....v�.�..�"•9_......-•.
TO BE FILLED OUT BY PERMrrrEE
TO BE WIRED /s EXISTING APPLIANCES
Number of light outlets to be installed yo -•-�- Number of present Appliance Circuits --..•
Number of convenience outlets to be installed ..••. s• ••
Number f switches to be installed ••- :_•s, �. Do these include Range ❑ Water Hester
Number of appliances to be installed . •---
(as listed below) Dryer ❑ Air Conditioner ❑ Ott Bnraer
TYPE LTO.
G N I Dish Washer ❑ Gas Burns:
so
Range . . . . . . . . Well Pump ❑ Flee. Heaters ❑
Range Top . . . . . .
o. •
ea •
Water Heater . . .
Clothes Washer . . . •
go a
Clothes Dryer . . . . .
Dish Washer . . . . . .
Air Conditioning Motor . .
Oil Burner Motor .
Gas Burner . . . . . . s '
Circulator Motor . . . .
Attic or Large Fan
Well Pump . . . . . .
Electric Heat . . . . .
Other . . . . • . . .
Number of new Lighting Circuits s
Number of new Appliance Circuits •
Number f Heating Circuits . . . . • .
Number of Motor Circuits . .
Size f present service .�.-••_._....._._..r. �--f4-- -
Sise of service to be .