HomeMy WebLinkAbout215 Benedict Drive (2)ELEOTRIGAL APPLIGATIOM
Application No. 1 / 6 9-
on the ride eE
B /V:E D J G l 'D R I V2 Street
Strcct No.
Owncr fR
Elcctrician f/D,Y-A 2I> /,o ) I
FILED IN OFFICE OF
The Building Isr Now
M 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 pipek and the Are
stops lit of wood) are installed. without a special
permit from the oAlce of the Building Inspector.
t
i
Electrical Permit Na
Master License No.
TOWN OF SOUTH WINDSOR Building Permit No.
BUILDING DEPARTMENT Date Filed
APPLICATION FOR ELECTRICAL WORK
Date Final Approval ._...........
Electrical Inspector
OB LOCATION: JOB OWNER: .-F&E-L)......
Side of ................................................. ....................... Between ............................................................................. and
Name of Building Owner .... 0.........Gm Z L..T Address (.2_1
If work is for Lessee—wive name ........................................... Address
1;.- L yBuildingnowoccupiedas (unless new) L_ of family units now ........
Btifiding to be occupied as IMM-9"ber of famfly 1-m—fts to lie
Is this work included in a Building Permit? ......... ............- Permit Fee -_
If no B Permit)
T Z/Permittee Business Address
COST OF INSTALLATION: .................la.....L.2---o
TO BE FILLED OUT BY PERMrrrEE
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 0Numberofappliancestobeinstalled . . . ............................
as listed below) Dryer Air Conditioner E3 OR Burner [3TYPERATINGNO.
Range . . . . . . . .
Dish Washer Gas Burner [3
Well Pump [3 Elec. Heaters
Range T p
Oven . . . . . . . . REM LRKS:
Water Heater A_l 7r
Clothes Washer . . . .
I-Clothes Dryer 7-
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 f present service
Size f so