HomeMy WebLinkAbout15 Blueberry Circle (8)i0 a
ELERTRIRAL APPLIGATM
Application No. i i 7G 3
on the A&of
t SU"
Strcct No. f.•
Owner RZ
Electricks :: 72,SFA C%/G
FILED IN OFFICE OF
The Building Uvectsr
19
I1VBPtfrGrioN.
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
until the plumbing and heating pipes, and the Are
stops lit of wood) are installed. without a special
permit from the oAMe of the Building Inspector.
1
Electrical Permit N&
Master License No:
TOWN OF SOUTH WINDSOR Building Permit No. '/9I.
r
BUILDING DEPARTMENT Date Filed
Date Final Approval
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
OB LOCATION: .......tl.V _ '..Rv JOB OWNER• .w /._._.
tx S
Side of ......................._................... ............. Between ._........................... and
Name of Building Owner ........ 1._ ,z_6 5'.Address
If w rk is for Lessee--chive name ...w.._._........... Address
Building now occupied as (unless ) ...._.... No. of family units now
Building t be occupied as Nunber of family units to be ..........1_.._...
Is this work included in a Building Permit? ..._....,!`'....._. Permit Fee .......!!.......
If no Build dPPermitteeBusiness
COST OF INSTALLATION: ............._..._...... ... .
TO BE FILLED OUT BY PERMI'ITEE
TO BE WIRED EXISTING APPLIANCES
Number of lt tls to be installed
Number of conennnee outlets to be installed .............. . ..µ.. Number of present Appliance Circuits ._._...
Number of switches to be installed . . • Do these include Range Water HeaterNumberofappliancestobeinstalled . . . ...__....._-------....
as listed below) Dryer Air Conditioner Oil Burner
TYPE RATING NO.
Dish Washer Gas Burner
Well Pump Eiec. Heaters
Range T p . . . . .
Oven . . . . . . . . REMARKS.
Water Heater . .
Clothes Washer . . .
Qothes Dryer . . . . .
Dish Washer . . . . . .
Air Conditioning Motor
CHI 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 f present gervice __._...-.••
Size f service to be ._