HomeMy WebLinkAbout17 Brookhaven Lane (6) ELECTRICAL APPLICATION
Application No.
on the Nde of
Sttect
Strcct No. _
Owwr
Ekctrkian �
FILED IN OFFICE OF
The Building bmpKtor
19
INSPRMON.
o 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 oMee of the Building Inspector.
Electrical permit N&
Master License No. 0 3 03
TOWN OF SOUTH WINDSOR Building Permit Na
BUILDING DEPARTMENT Date Filed
APPLICATION FOR ELECTRICAL WORK Date =
at:M=---- --
Fa
OB LOCATION:
... /T h._.._.__.._. 1-42", OWNER: ..........__..._..._.................................... JOB
..................... Side of .........................................................................- Between ...................................... -------- and
Name of Building Owner ......... ......... ........ Address
If w rk is for Lessee—Give Address
Building now occupied as (unless new) No. of family units now
Building t be occupied as 8_md�<e_ ...... Number of family units to be
Is this work included in a Permit Fee
(If no B Pauft)
e
Permittee P.z ......ed...4.. off-................__ Business Address _o_Lf qf7�d. Telephme
a-roo 'Ma'17 C'01 ef 06 0 VO
COST OF INSTALLATION: ...................................
TO BE FILLED OUT BY PERMIT TEE
TO BE WIRED EXISTING APPLIANCES
Number of Hight outlets to be installed Number of present Appliance Circuits .
Number of convenience outlets to be installed .........22
q ..
Number of switches to be installed . . . -2� ........ Do these include Range C3 Water Heater 0
Number of appliances to be installed - - -
(as listed blow) Dryer C] Air Conditioner [3 Oil Burner [3
TYPE RATING NO.
Range . . . . . . . . Dish Washer [3 Gas Burner [3
Well Pump [3 Elec. Heaters [3
Range T p . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater .
Clothes Washer . . . . Vz
Clothes Dryer . . . . . /0
Dish Washer . . . . . .
Air Conditi ring Motor
Oil Burner Motor . . . .
Gas Burner . . . . . .
Circulator Motor . . . . Ll
Attic or Large Fan
Well Pump . . . . . .
Electric Heat . . . . .
Other
Number of new Lighting Circuits S: --
Number of new Appliance Circuits _3
Number f Heating Circuits . . . . . . .
Number of Motor Circuits
Size f present service
Size of service to be