HomeMy WebLinkAbout12 Betty Drive (4) 6252
PLUMBING APPLICATION
ppp . No, 7031
an the -side of
Lot #115 Betty Drive SiRet
Strm r4o. ._ 12
JMJ Construction
Phmnber So.Windsor Plbg. & Htg.
Filed in Ofia of
The Bm-k6g Isrpec�or
Sept. 12 19
No person shall coact, add to a Obw my
portion of the die sym m of tiny balft
(adept to repair lab) uotd a Plermit a gRssaed
by the Building h peaty.
APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB
NO 'STREET FLOOR APTAO.
GENERAL PLUMBING
12. KIND OF INSTALLATION l/i/h.�/ Z!zm CLA 13. SIZE OF MAIN DRAIN �•
14. NO. OF TOILETS _STYLE 7;1/1/k /Lac 15. NO. OF URINALS f7 STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES_� 18. NO.OF SINKS 19. NO. OF WASHTUBS
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 COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? eJ 27. SIZE OF WINDOW
28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE) t f
SIGNATURE ADDRESS 1&570 9dk
LICENSE NO. 020.Z G 1(2 w ESTIMATED COST 3�100_0 v TELEPHONE
OWNER / �� �iz,l�u� �� ADDRESS 4�26'
WATER HEATER
31. TYPE l l �t �.L/60•� [��f LIC el 32. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY r s7���, /9� .1 1 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE_ ��U/ S 38. MANUFACTURER
35. WORKING PRESSURE 60 1!D I 39. PRESSURE RELIEF VALVE
36. TYPE l��4 S S tl-flr G/ 40. MANUFACTURER
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY
AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
�/,2 A q,3 - �__ e'n --%
CD962 IfDATE SIG VKOF APPLICA