HomeMy WebLinkAbout17 Bridlewood Road (4) ' Q
ELECTRICAL APPLICATION
J
Application No. ����✓ -
on the side of
b IF, Wmi> I�i� Street
Street No. l
Owner ' !CCccL4f% '►��� /�
Electrician 9C
f
FILED IN OFFICE OF
The Building Inspector
19 7
INSPECTION.
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
s until the plumbing and heating pipes, and the Are
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
Electrical Permit No. ......q..a; ...,tr......
Master License No. 7
TOWN OF SOUTH WINDSOR Building Permit No. .......................
BUILDING DEPARTMENT Date Filed ..............................................................
Date Final Approval ...............................................
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
JOB Lqg
.. ..... ............................... ..... ................................. JOB OWNER: ...... ...................... ...
Side of V Between .......45.4G1 ............................................. and ......�.5,2..............
Name of Building Owner 46r-evle". ......... e. Address 1&.4-VOe�r ............1 ...........
If work is for Lessee—Give name ... . ........... ............. ............. . Address .................................................................................................
Building now occupied as (unless new) ................. ..... No. of family units now ..............................
Building to be ccu ied as Number of family units to be ......./.....................
Is this work included in a Building Permit? "re, Permit Fee . .......... .......... ............ . ..............................................................................
(If no Building Permit)
C, —Permittee -j- t� /, Business Address ............ . Telephone
COST OF INSTALLATION: . . ..
...................................... .................................................. ... .......... .. .. ......
TO BE FILLED OUT BY PERMITTEE
TO BE WIRED EXISTING APPLIANCES
Number of light outlets to be installed . . ......... - ....... I
Number of convenience outlets to be installed - 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 C3 Oil Burner [3
TYPE RATING NO.
Range . . . . . . . . s-17 gl Dish Washer C:] Gas BurnerC3
Well Pump M Elec. Heaters [3
Range Top
Oven . . . . . . . . REMARKS:
Water Heater
Clothes Washer . . . .
Clothes Dryer . . . . .
'00
Dish Washer . . . . . .
Air Conditioning Motor .
Oil 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 of present service ................ ..... ...................................
Size of service to be . ..................................