HomeMy WebLinkAbout16 Arrowwood Circle (4) q9 b�
ELECTRICAL APPLICATION
Appli d=No. l f 70
ow the Bide�E
Street No.
Owner aj±
Electrician i CAP R D 1Liq L a 12
FILED IN OFFICE OF
The Buimieg Impeetor
/G// 19
INBPiMON.
MNo Electrical Work shall be started until a Per-
mit is `ranted by the Building Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes, and the Are
stops (it of wood) are installed, without a special
permit from the oMee of the Building Inspector.
Electrical Permit MM --
Master License No: �� O
TOWN OF SOUTH WINDSOR Building Permit No.BUILDING DEPARTMENT DEPARTMENT Date Filed . &`/Y:�2
Date Final Approval _
APPLICATION FOR ELECTRICAL WORK
f
Eleetrini Inspector �
OB LOCATION: �.:?...1........ _ ......._✓�__.[v. ._.,. .'_�� JOB OWNER: . 1�e�C/ �� /ak i" S----
...................... Side f ................_..............._.........._............................_ Between ._..........................._....__....__.....
_ - ..
Name of Building Owner ..._....___...__.__._.._......._ _._.._ .. Address
If w rk is for Lessee—Give name .._.—_--------__...... _ __ _....._ ___..__._ Address
Building now occupied as (unless new) No. of family units now l
Building to be occupied as Number of family units to be .
Is this work included in a Building Permit? Permit Fee
(If no '
Permittee • .•-... _ Business Address
. �•°F- •-- '7iQ.
COST OF INSTALLATION: • 69� __ o�G t
Id
TO BE FILLED OUT BY PERMPITEE
TO BE WIRED EXISTING APPLIANCES
Number f light outlets to be installed _.r _....__.___
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 ❑ Oil Burner ❑
TYPE RATING NO.
Dish Washer ❑ Gas Burner ❑
Range . . . . . . . . Well Pump ❑ Elec. Heaters
Range Top . . . . . .
Oven . . . . . . . . R .MARXS:
Water Heater
Clothes Washer . . . .
Clothes Dryer . . . . .
Dish Washer . . . . . .
Air Conditi sing Motor . .
Oil Burner Motor . . . .
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan ,
Well Pump . . . . . .
Electric Heat . . . . .
Other . . . . . . . .
Number of new Lighting Circuits .
Number f new Appliance Circuits . . .
Number f Heating Circuits . . . . . . .
Number f M t r Circuits . . . . . . .
Size f present service —.•
Sim of service to be .