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Home My WebLink About158 Orchard Hill DriveV`vITO THE BUILDING INSPECTOR of APPLICATION FOR PLAN EXAMINATION ANDDOWNOFSOUTHWINDS4t,CONS BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 1 , 11, V, an4 IX.0 ZONING AT (LOCATION) DIISTR C LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT_A_BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m 1 n New building Residential Nonresidential 2 Addition(l/residential, enter number 12 X One family 18 Amusement, recreational of new housing units added, i/any, 13 Two or more family — Enter 19 E] Church, other religiousinPartD, 13) number o units— — — — --20 Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel,21 Parking garage4 Repair, replacement or dormitory — Enter number 5 E] Wrecking (1/multifamily residential, of units ——————— — •••i 22 Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6 Moving (relocation) 17 Other — SpeciJy 25 Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 270 Stores, mercantile 8 :< Private (individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 29 0 Other — Specify 9 Public (Federal, State, or local government) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement,,,,,,,,,,,,,,,, Od O school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, a roposed use. in the above cost a. Electrical......................ro b. Plumbing ..................... e.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 Masonry (wall bearing) 40 X Public or private company 48• Number of stories................ 31 KWood frame 41 Private (septic tank, etc.) 49• Total square feet of floor area, se+all floors, based on exterior 32 Structural steel dimensions .................... + ® 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34 Other — Specify 42 5C Public or private company 50 Total land area, sq. ft. ........... 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors....................... 96 ISZ Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45® No 53. Number of bedro ms.............. 38 Coal' 39 Other— Specify Will there be an elevator? 54. Number of Full.......... 46 Yes 47[M No bathro ms Partial....... NOTES and Data — (For department use) r IV. IDENTIFICATION — To be completed by all applicants Name Mailing oddre — Numb , tre city, an at ZIP code T I. No. Owner or fz&4; Lessee v p 2. Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signatur of ppli nt Address Application date el 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Revi w R uired Check Plan Review Date Plans B Date Plans B Notes9FeeStartedyApprovedy BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER T— is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approva I Check Date Obtai ed Number By Permit or Approval Check ObtDaalned Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building 8875Prmitnumber Building Permit issu d May 23 19 7- Building P rmit Fee $ 198•oo Approved by: TI E VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use t ,_. be a -'" "k"_.s., n ,-$ a 55a r 1. 3 t a r s _dt•_ .. b p. < ->. « Y4 T x.PM a v .wm1 " w TOWN OF SOUTH WINDSOR BUILDING PERMIT Date May 23 1975 Fee Paid $198,00 Est. Value ;B3,v-Q00 DJ Permit M 8875 on the side of Lot #12 Orchard Hill Dr. Street Street No. 158 Owner Herbert Wanza Applicant Herbert Wanz a CERTIFICATE OF OCCUPANCY ISSUED: Date No. 4580 Fee Paid $ 3 •00 CLASSIFICATION Dwelling BUILDING PERMIT NO 8975 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. May 3 1975' 4is to to Trrftf1j, That Herbert Wanza is hereby granted permission to Dwelling at estimated value of $ 33#000 on the side of Lot #12 Orchard Hill Drive Street on land owned by Herbert Wanza Said Work to be as described in Application No. 9i75 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issu May 23 75 ild' g Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." Permit No. _ TOWN OF SOUTH WINDSOR 1 SOUTH WINDSOR, CONN. 458aPermitN? Certificate of Occupancy THIS,,IS TO CERTIFY that the at No. ' in the own of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy.r BUilding Inspector wner, Buil Date 19Feeraid r r K R A W S K I M J O• 70 TLr s12. 1 0 r Zp w4 _$Z. t 00 6- 17878. ORCHARD z HILL DRIVE a PLOT PLAN OF LOT 12 WANZA CON RUCTI ON CO. SA v it ORCHARD HILL DRIVE L77,t SOUTH WINDSOR CONN. 1 NOTE LOT INFORPOATIaM FROM OAK 1600E ESTATES,ROSTEIT STREET,SOUTN WINDSOR SHEET 3, 1"240,9.05-S3,N.L.GRISWOL0 NO ZONING REGULATIONS VIOLATED 04 CONhrCT, A. BOWE14 DAVIES & CO.1 HEREBY CERTIFY THIS PLAN TO BE SUBSTANTIALLY CORRECT LAND SURVEYOR r 96 RIbGEWOOD ROAD a Gm I GL.ASTONBURY, CONN. 06033 NEW. SCALE UATE I VROJ. MO. A'e Sult1144 1" • 4 Q' J! -75 5132-36- 2 5767 ELECTRICAL APPLICATION Application No. 6 078 on the side of Lot #12 Orchard Hill Dr. Street Street No. 158 Owner Herbert Wanza Electrician Joseph Zingarelli FILED IN OFFICE OF The Building Inspector July 9 19-75 INSPECTION. 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 fire tops fit of wood) are installed, without a special permit from the office of the Building Inspector. r n APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM, No. ........6 97.8................... Permit No. ........57.6.7.................. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application tq perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. SouthWindsor, Conn.. .............. ... ... ... ............... .......... 19-..7..SSign here .. .. ......... ........................ Address .. n.. ...... .......... Locationl Side of .................................................................................................................................. Natureof Building ...... .............................................................................. How many stories ......................................................................................._........ New or old Building How many families ................._........._................................................_...._..... Kindof Installation How many Stores ........................................._....................._......................_........... Owner .:.. ...................................... ........... /.............. __............... Address ..........................................................._................_-___......._._........____.... Architect ................... ../............................................ .... ...................................... Address ................................................................._........_....._........ Builder ;...••........... ..........I.. Address Electrician Address .......c.......r Size of Main Wires ........................................................ No. of Light Loops .................. .............. No. of Heat Loops .................. .. No. of Power Loops ......_..............._. No. of Light Outlets .../.. .. . .... .... No. of Heat Outlets .......No. of Power Outlets ........................ NoO of Light Circuits .... .... .............. No. of Heat Circuits ... . ... ... ........... No. of Power Circuits ................ .................. No. f Sockets .............................No. of Heat Receptacles .... ... ....... .... No. of Motors ....................................................... No. of Panels ..................................................... .. Size of Heat Circuit .............. .. . ......... No. of Power Receptacles ........................ No. of Switches ........... ........... .... ... . Total Wattage ...................................................... Size of Power Circuit ................ ............ Total Horsepower ...................................... No. of Straight Electric Fixtures ...........c .1.............................. No. of Combination Fixtures ............ ............................ .............. No. of Receptacles ......................... Gl........................... . ........... No. of Cord Drops ............. Remar : For other kind of Installation .................. .............. O U rx Estimated Cost ...... .....5. ....................................... 7 ? S 4785 PLUMBING APPLICATION Appl;a,. 14m 4574 on the ._..._........_ of Lot 12 Orchard Hill Dri veSum Smut ljo. _._ 158 Owner ....Herbert Wanza, Jr. plumber Herbert Wan z a j Filed in Office of The Sept. 18 1975. INZCTWN. No person d all comtract, add to or alter sty portion of the drainage system of any buMmg amept to repair lea6) until a Permit is y mted by the Building Inspector. Application No. .A574...................... Permit N A7§5.................. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application to perform plumbing according to detailed description below. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether specified herein or not. South Windsor, ..... . 7 ................ Iff,.................. 19 7r. Sip here ... ki^. .,6.... Address ...... Z)OL............. Location L..O*r.........6-.1'.t......VIC side of .....SO-0114.......SA-UP.............Of............................. Street Nature of Building How many stories .. ......T.jkq..Q............................................................. Owner ......)AWIXIMILIr ..VJA&)'LA......................................... Address......I SS.......... Architect ....C.Q.0-0).......14.0.M]L. ---'PL-^.0--qrJC0.................... Address ......M.-s-0-04ALIK........... Builder k2AO.Q.TWA..........C;?Aart. Address .........1-4157.......0-9-CHAiLa-141AAw.......Wtst................. Plumber ......B%Mr........Address ............of........0fft. AstD...41Lt........0.4qr................. DRAINAGE CESSPOOLS, How many .. ...... ....90L........... ................ Where located .....................AJ!?A.M Are they water tight ..... Yk-.S.......................................................... Of what materials are they built ........#Jvvc Size of pipe from house to cesspool .........0.0.4 4.......... Kind of pipe ................. ............A..J...VqA................................................... MAIN DRAIN IN CELLAR, Material ........4;.....CL... Diameter ....................4....................................................................................... Aboveor below cellar bottom ........3.01......P.L.Asn C........................ .... .......................................................................................................................... SOILPIPES, Material . . 4q A.$..r.........IAPA)......... .......... Diameter ..........+.I#............................................................................................. WASTEPIPES, Material ..........R.-A.S.rit............................... Diameter 7..'*.-t...:S............................................................ TRAPS,Type proposed to use is ...ffi.j.'.y.t........ 11......7-0e.0410............................................................................................... RAIN WATER LEADERS, where do they run to ...PPI 41L......n.........444.41111ir................................................................. REFRIGERATOR WASTES, where do they run to &)V.Al............................................................................... ............................... TANK OVERFLOWS, where do they run to 00,q ..................................................................................................................... FIXTURES WATER CLOSETS, How many ....................3........... ......... Where located ...CZV..S.7......!kv%....j 610V.0 so r* Distance from trap to vertical soil pipe ............1..8................. Pattern 0^4......... ..........................................I........................ WASH TRAYS, How many .. ...............049a9...............I.... Where located ..ffiJ.Q.AJ%............................................................... SINKS, How many ................................................... ................................... Where located scircmev. ............................................. BUTLER'S SINKS, How many .................pjt A4..14.................. Where located. ............ Ij.0.01k REFRIGERATOR SINKS, How many........JI.J.-.....0....0.-J.....V*-.......... Where located .............WRIF.............. ................................................. LAVATORIES, How many ..........................3................................. Where located Ami#J.....#**r#4........ mftrit....40,r1w BATH TUBS, How many..................... Mere located ....ftfil4o?.....Aft/V................................................. URINALS, How many ..............................a.....9.0.4......................... Where located ..........W..O.O.U.1c.................................................................. Are water closets and urinals to be local vented )rLFS ..... - - .... If not, is there a window in outer wall ofroom where same are to be located ............ . . . . ........................................................................................................................................ Estimated Cost.. 04................... PERMIT # Application For 4612 ,,4391 DEPARTMENT DECISION aeons pest s 3 3 APPLICATION IS HEREBY:DEPARTMErfr OF LICENSES AND INSP&WM19" APPROVED DISAPPROVEDN TOWN OF SOUTH WINDSOR 9/18/75"o 00 y DATE C PECT APPLICATIONS MUST BE PRINTED OR TYPED. DEa1M wrm NUMBER ONE BELOW O 1. LOCATION of cos O a c 158 Orchard Hill Drive j NO. 4j 12e) 4 LOT NO. FLOOR AFT. NO. 4 ON o OWNER Herbert Wanza ac S. ADDRESS 190 Orchard Hill Drive eo 3 4.PHONE c S. APPLICANT Herbert Wanza c go e. ADDRESS 7.PHONE w ''C s. LICENSE NO. 4J p' s. EXPIRATION DATE OF LICENSEw s -OO to. ESTIMATED COST s 1 500 g IS THIS A CONTRACT COM 121 YES 13 w be Permit 887 5olit. FEE ENCLOSED S X 1s. of BUILDING: COMMERCIAL bOOR 14. TYPE OF JOB: INDUSTRIAL 3 ORIGINAL ALTERATION rTi i INSTALLATION ADDITION REPAIR I APPLICATION FOR HEATING PERMIT (C ntinued tr m Reverse Side) 11. LOCATION OF JOB :.;7" /4 O/fc/j/,,Ii NO. STREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK Cl INCINERATOR MISCELLANEOUS IDENTIFY SIZE r J , LOCATION 6, , . a SIZE SIZE13. OF TANK OF TANK 1 OF FILL OF VENT s 14. B.T.U. EQUIP. AT REGISTER FURNACE A A E AND NO. AT BONNET FIRING ATE s o. 7r>, fir+,:,. :F t ,•i i. BOILER OR FURNACE MAKE AND N0. /B.T.U. OR SQ. FT. NET // •J 0446t OR SQ. FT. GROSS " ' FIRING RATE FLOORS TO BE HEATED T aU NEW 0 -GkD BUILDING N1 L a,) INSULATED — YES Ofi!-NC" TYPE OF WALL 3 1h2 INSULATION F I;1 '+Lk4l ' ROOF OR CEILING f?..r INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE is 'd.L)T_S l b C FAHRENHEIT r9O °N>f 'j t7 MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 1s. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): R Ow SIZE WINDOWS AREA — SQUARE FEET e.T.U. S.T.U. F DANDDOORSVOLUMEF DISTRIBUTION INSTALLED TOTAL TOTAL p ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT TD•F CORRECTED j REGISTER L W N AND ` INFILT.) TEMP. TO tF f aa TYPE AND SIZE RAO. OR LEADER SIZE < WALL .'to RIFF. F ,m d SQ. FT. FREE AREA r' TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND 1 a. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE(OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. f DATE SIGNATURE OF A PL ANT 3 14 lvAPPLICATION FOR HEATING PERMIT (Continu d from R verse Side)11. LOCATION OF JOB Lv r NO. STREET FLOOR AFT.NO.12. TYPE OF INSTALLATION: LJ OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR- OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.FT. OR B.T.U.DESCRIPTION OF WORK 15. TO BE DONE:16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).ROOM Slz[ WINDOWS AREA SQUARE FEET IS.T.U. IS.T.U.D AND DOORS VOLUME H DISTRIBUTION INSTALLED TOTAL TOTAL RO M L M N AND GROds GLASS N[T MALL C[ILINO FLOOR CU.FT. AT 7D'F CORRECTED t j MAD. REGISTER MALL to ONFILT.) TEMP. TO F F g TYPE AND SIZE sG. FT.OR LEADER SIZE G DIFF. F FO 0 i FREE AREA a A ) a s Z.l60 30(0 Zp — 37 G r Ali/ S 7 z Io L o a Z8 3 3.7 m ss Anf o Y S 6 4 8 o TOTALS B 7 8 j A. HEAT LOSS FROM BUILDING B.T.U./HR.B. DOMESTIC HOT WATER DEMAND B.T.U./HR S7 C. PIPING.OTTER THAN NORMAL B.T.U./HR.ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY:NAME ADDRESS SUBCONTRACTORS AND Is. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE(OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.APPLICATION TO BE COMPLETELY FILLED IN. DATE SIGNATURE OF APPLICANT APPLICATION FOR HEATING PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB G.nr w•/z Ofzc/,l'4i?0 //GL ^D/z NO. STREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: LJ OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS a—AST S,4 OP IDENTIFY SIZE LOCATION SIZE It SIZE 13. OF TANK CJ OF TANK H0 yS y2/ OF FILL 2 OF VENT i Z 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATp BOILER OR FURNACE MAKE AND NO. f== 1 3 a—B.ANR SQ. FT. NET 11 fhl. OR SO. FT.GROSS.FRING RATE LF FLOORS TO BE HEATED TL t) NEW QR- tO BUILDING I- INSULATED — YES Oii-NO TYPE OF WALL 3 I Z INSULATION El rSMC.VASROOF OR CEILING 3 Yz. INSULATION E:i 13 Eft.4(Jl AVG. SYSTEM WATER TEMP. 10 o B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE D f0 OV T JS 10 M FAHRENHEIT A00 1 0 S I D C_ MAKE OF RADIATION: BASEBQARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. 'sTelt.Li lJ G ?A O RTU DESCRIPTION OF WORK 15. TO BE DONE: Ia. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS). Room SIZE WINDOWS AREA — SQUARE FEET s.T.u. l..T.u. t-D AND DOORS vOlurae DISTRIBUTION INSTALLED TOTAL tOTAL p t ROOM NO. ORQSS CLASS NET WALL C[ILINO FLOOR CU.FT. AT 70•Or COIM[CTED _j R REGISTER TEMP. TO F TYPE AND SIZE 1Q' OR LRADERLWNAND5r SIZE ` WA L .'Gt0 INFILT.) DIIF. 80 F F O i0. f T. FREE AREA \ 10 6•10 VA,-%I 0f Z0 Z o d R Z 8 Z8 o z o 0 11 v Z 2CAI(. o S 5 dWnt 9 <o g 2 O 000 . p O (o Z 4 0 2 0 2 o0 1 Z lwq K/r 19 12 g Z r lO l z rre2 o LI WA) 27- 81 I SD Z " L. .3 0 aD a9 Lao I Z D I µto Q t4 00 0 - -700 c) 00510 8 z U ao Zv -- e: 1 b 13 pJ Zo 1:3c01 ) ISOz )y to $ lq o ZAzo 0 ILI 49 o Z z o 4A its- )I I Q v c?.G TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND Ia. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE(OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. DATE SIGNATURE OF APPLICANT