HomeMy WebLinkAbout25A-25L Amato Drive (6)i
OIL BURNER
OR
FUEL STORAGE APPLICATION
Application No. Permit No.
1
I
on the side of I
Street
Street
Owner
Application, c E
CLASSIFICATION
Permit Issued on Above Application
Date 19
Fee Paid $
TOWN OF SOUTH WINDSOR
APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS
EQUIPMENT AND TANKS
PERMIT N DAT
The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and
tanks of the following description:
Address 1st 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
r
Name of Tank tiu Gauge of Tank
Where is Tank Located Size of Tank _ d
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 C PLICA
All provisions of Ordinances of this Town Regulating Oil Burner Equipment and Fu St age Sections 1-23 in-
clusive) and Underwriters' Code applicable to the subject matter of same shall be complied with in execution of thie
work whether specified herein, or not.
Estimated Cost $ mil-UvI Application for Permit received and
Permit No.issued
Permit Fee Paid Approved
BUILDING INSPECTOR