HomeMy WebLinkAbout20A-20L Amato Drive (6)i
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OIL BURNER 1
OR
FUEL STORAGE APPLICATION
Application No. Permit No.
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on the side of
Street
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Street No. A r-LD
Owner
Applicatio
CLASSIFICATION
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Permit Issued on Above Application
Date 19
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Fee Paid $ I
1
TOWN OF SOUTH WINDSOR
APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS
EQUIPMENT AND TANKS
PERMIT N D AT
The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and
tanks of the following description:
Address 19t floor 2nd floor _____.____3rd floor
Character of Building: Frame Brick
Owner of Burner Owner of Building
Lessee or Tenant
RANGE BURNERS
Capacity of Tank at Range in cellar outside
Name of Range Burner Purchased from
POWER BURNERS
Name of Fuel Oil Burner__ Model Number ___ _
Purchased from
Name of Tank F4Cad Gauge of Tank
Where is Tank Located 4- Size of Tank
Size of Motor Size of Wire
Will other heating equipment be installed?
If so, by whom
Name of Party Making Installation
Address_
Electrician
Address
Signe PLIF
All provisions of Ordinances of this Town Regulating Oil Burner Equipmen and u to ge ections -- 31-'L in-
clusive) and Underwriters' Code applicable to the subject matter of same shall be complied with in execution of this
work whether specified herein,-)for
not.
Estimated Cost $ O tq< cz Application for Permit received and
Permit No.issued
Permit Fee Paid Approved
BUILDING INSPECTOR