HomeMy WebLinkAbout19 Ann Road (15) ELEGTRICAL APPLICATION
Application No. J 7 33
on dte aide of
A P�,f4 `� n n stet
Strcet No.
Owner ADD g Tf1�/
Electrician DSO
FILED IN OFFICE OF
The Building Ittspscter
IPIBPRC7'IOlil.
A*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 (if of wood) are installed, without a special
permit from the oA1ce of the Building Inspector.
Electrical Permit Na � �-2
Master License No. �4:Z 5 5 -
TOWN OF SOUTH WINDSOR Building Permit No.
BUILDING DEPARTMENT Date Filed
Date Final Approval ..................
APPLICATION FOR ELECTRICAL WORK
Electrical Impft-tor
n
OB LOCATION: / Anz-.\ ......... JOB OWNER: L)
..... .... ...... Side of ................................. Between .......................................................................... and
Name of Building Owner ........ Address
If work is for Lessee--Give name ............................. ---—---------------- -------------------------- Address
Building n w occupied as (unless new) ..........................................................Z.........— No. of family units now .........
Building to be occupied as ....................................--------------..................... /--. Number of family units to be
Is this w rk included in a Building Permit Permit Fee
(If no B-ild Permit)
Permittee .... .......... usiness Address Telephow
COST OF INSTALLATION: ..........
TO BE FILLED OUT BY PERMITTEE
TO BE WIRED EXISTING APPLIANCES
Number of light outlets to be installed **"*.-5*—0 ..
Number of present Appliance Circuits
Number of convenience outlets to be installed . . 5. .
Number of switches to be installed Do these include Range Water Heater C1
Number of appliances to be installed . . . ......... ... .........
Listed below) Dryer Er Air Conditioner ❑ Oil Burner ❑
TYPE RATING NO. Dish Washer Gas Burner
Range . . . . . . . . Well Pump C] Elea Heaters ❑
Range Top . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater 1)✓
S
Clothes Washer . . . .
Clothes Dryer . . . . . m 13
Dish Washer . . . . . .
Air Conditioning Motor .
Oil Burner Motor . . . .
Gas Burner . . . . . .
Circulator M for . . . .
Attic or Large Pan
Well Pump . . . . . .
Electric Heat . . . . .
Other . . . . . . . .Number of new Lighting Circuits
Number of new Appliance Circuits
Number f Heating Circuits . . . . . . .
Number f Motor Circuits . . . . . . .
Size f present service 0 0 /0-)-x -
Sim f service to be 0 -A--L