HomeMy WebLinkAbout121 Bourbon Street (2) 9284
ELECTRICAL APPLICATION
Application No. �0-:7 9 6
on the �� �`S 7 side of
7 r Street
Street No. 1 a
Owncr
Electrician Haneowner
FILED IN OFFICE OF
The Building Inspector
jii lv 2 19_8L
INSPECTION.
m 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 ere
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
Electrical Permit No. ...... ..............
Master License No. .........
TOWN OF SOUTH WINDSOR Building Permit No. ....................
BUILDING DEPARTMENT Date Filed X171V ......................................
Date Final Approval ............... ...........................
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
JOB LOCATION: ... .... �!...... JOB OWNER: 4
.........7.. ....-; .......... ................
Sideof . Between ............... ........... . and .................................................................................
...................
Name of Building Owner Address 6...... /'4 V*'5" to
If work is for Lessee—Give name Address ................ .. ........................ ............... ... ..................
Building now occupied as (unless new) No. of family units now . ..... .......
Building to be occupied as ....... Number of family units to be ...... f...................
Is this work include i a Building P mit? (f> Permit Fee . .. . . ... . . . .. .. ............................................................................
(If no Building Permit)
Permittee Business Address .. .. . ...... . Telephone ...A.fe�VeQj
...........
.. ...........COST OF INSTALLATION: . . /Clv. . ... ... ............................ .. ... ... . ................................................................................................................
TO BE FILLED OUT BY PERMITTEE
TO BE WIRED EXISTING APPLIANCES
Number of light outlets to be installed . . . . . /
Number of convenience outlets to be installed Number of present Appliance Circuits ... . ....................................
Number of switches to be installed r Do these include Range ❑ Water Heater ❑
Number of appliances to be installed
(as listed below) Dryer ❑ Air Conditioner E3 Oil Burner ❑
TYPE RATING NO.
Dish Washer ❑ Gas Burner ❑
Range . . . . . . . . Well Pump ❑ Elec. Heaters
❑
Range Top . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater
Clothes Washer
Clothes Dryer . . . . .
Dish Washer . . . . . .
Air Conditioning Motor
Oil Burner Motor
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan . . .
Well Pump . . . . . .
Electric Heat . . . . .
Other . . . . . . . . I
Number of new Lighting Circuits
Number of new Appliance Circuits . . . .............................
Number of Heating Circuits . . . . . . ...........................
Number of Motor Circuits . . . . . . . ........
A
Size of present service ............. . ................................................
Size of service to be . ................................-5
..........