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111 Birch Hill Drive (7)
9097 ELECTRICAL APPLICATION Application No. 10 611 on the side of e2za , D Street Street No. /l Owner OZ , Electrician FILED IN OFFICE OF The Building Inspector 3 CD 19 I.fo INSPECTION. mNo 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 fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit NO. Zl Master License No. © TOWN OF SOUTH WINDSOR Building Permit No. BUILDING DEPARTMENT Date Filed .....:...................................... Date Final Approval ....... ........ ...................... APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION: JOB OWNER: Sideof Between ... and ................................................................................. Name of Building Owner Address 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 ...... . . ............. Is this work included in a Building Permit? A10 Permit Fee .......... . ......... ........ ... ................... ........................... . ................ If no Building Permit) V Business Address Vx,9Permittee1 .. . Telephone COST OF INSTALLATION: 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 Do these include Range Water Heater E]Number of appliances to be installed as listed below) Dryer Air Conditioner Oil Burner TYPE RATING NO. Dish Washer Gas Burner E] Range . . . . . . . . Well Pump E] Elec. Heaters E] 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 . . . . . . . . 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 lelp.. ,.I.._. .....