HomeMy WebLinkAbout22A-22L Amato Drive (5)I
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OIL BURNER i
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FUEL STORAGE APPLICATION
Application No. Permit No.
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on the side of
Street
Street No.
Owner
CLASSIFICATION
Permit Issued on Above Application
Date 19
Fee Paid $
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TOWN OF SOUTH WINDSOR
APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS
EQUIPMENT AND TANKS
PERMIT No.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
L///Name of Tank Gauge of Tank
Where is Tank Locate Size of Tankell
Size of Motor Size of Wire
Will other heating equipment be installed?
If so, by who
Name of Party Making Installation—
Address—
Electrician
Address
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Signe pp pW'r
All provisions of Ordinances of this Town Regulating Oil Burner Equipmen and Fuel St a ections -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 $ S- Application for Permit received and
Permit No.issued_
Permit Fee Paid Approved
BUILDING INSPECTOR