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Home My WebLink About12 Betty Drive (10) r 7�4 NNO. DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT Application is hereby : TOWN OF SOUTH WINDSOR (!!P!PKRO�VEDISAPPROVED BUILDING INSPECTION DEPT. 1540 SULLIVAN AVENUE 6 /,3 �IfCzQ 644-2511 Ext. 230 at Building Inspector Applications must be printed or typed 1. LOCATION OF JOB: lf� 80 fl�,j -N I uc FEE SCHEDULE 2. OWNER: -liSSA $ 0 - $19 000 - $10.00 3. ADDRESS: l2 Over $1 ,000 - $10.00 S -, b�^��'�- v` per $1 ,000 or 4. APPLICANT: fraction thereof 5. ADDRESS: U le-bL3n � T 6. EST. COST: $ 7. IS THIS A CONTRACT COST? ES NO 8. FEE ENCLOSED: $ 0 a� 9. TYPE OF BUILDING: 6X SIDENTIAL COMMERCIAL 10. TYPE OF JOB: ORIGINAL ALTERATION INSTALLATION ADDITION REPAIR BD 2A 11/88 APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side) 11. LOCATION OF JOB: &Sz�ZT GENERAL PLUMBING 12. KIND OF INSTALLATION: l �, 3�71-SIZE OF MAIN DRAIN 14. NO. OF TOILETS STYLE 15. NO. OF URINALS STYLE 16. NO. OF BATHTUBS 16A. NO, OF SHOWERS 17. NO. OF LAVATORIES 18. NO. OF SINKS 19. DISPOSAL 19A. DISWASHER 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? 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 WATER HEATER 33. TYPE 34. MANUFACTURER TANKS SAFETY DEVICES TEMPERATURE 35. CAPACITY Q/`© /k/ 39. RELIEF VALVE a�lD 36. TEST PRESSURE /d..S LBS. 40. MANUFACTURERg' �S 37. WORKING PRESSURE /, LBS. 41. PRESSURE RELIEF VALVE CIJ 38. TYPE 6295 42. MANUFACTURER IZ7� � LICENSE NO. DATE SIGNATURE APPLICANT PHONE NO.