HomeMy WebLinkAbout1576 Main Street PERMIT N(
DEP
ARTMENT DECISION
APPLICATION IS HEREBY: A P P L I C A T I O N F O R
APPROVED DISAPPROVED PLUMING PERMIT
TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
DATE PL . G INSPECTOR 6 4 4 -2 511 Ext. 230
Application must be printed or typed.
1. LOCATION OF JOB:
s 6 NA/ru sT.--
FEE SCHEDULE
0 - $1,000 - $10.00
3. ADDRESS: cS ��w
I
Over S1,000 - $10.00 ( � �,tJL �G 2
per $1,000 or ,
Fraction Thereof APPLICANT: Z., -x � �S.Zj(.-V0 �Y
4. _
5. ADDRESS: loy
� � 3
6. EST. COST: $
7. IS THIS A CONTRACT COST? Y ES A_NO
8. FEE ENCLOSED: $ D l/ O
9. TYPE OF BUILDING:
RESIDENTIAL COrDIERCIAL
10. TYPE OF JOB:
ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
rit't1L�r111viV rutZ r'L�.ltslvv t'Lt�:lii (Lunt. trom cceverse Bice)
r
11. LOCATION OF JOB:
GENERAL PLUMBING
12. KIND OF INSTALLATION:A L�e 2 w'T L b hJ' 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE 15. NO. OF URINALS STYLE
16. NO OF BATHTUBS 17. NO. OF LAVATORIES 18. NO. OF SINKS 19. DISPOSAL
16A. NO. OF SHOWERS 19A.DISHWASHER
20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE
22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO.OF OTHER FIXTURES KIND
26. ARE TOILET COMPAPUMENTS VENTILATED TO OUTER AIR BY A WINDOW?
27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS
32. REMARKS AND FURTHER DETAILS o S'l�h-tT �-
ti<'T�s rA
WATER HEATER
33. TYPE 34. MANUFACTLTR�R
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
LICENSE 90. DATE SPNATURE OF APPLICANT-
PHONE NO.