HomeMy WebLinkAbout100 Bidwell Road (33) Office Use Only Date: 4-(-90
NO. Est. Cost: �so.00
Bid&, Permit:
Fee:
TOWN OF SOUTH WINDSOR
SPRINKLER SYSTEM APPLICATION
1540 SULLIVAN AVENUE
644 -2511 EXT. 230
Location of Bldg.: /DO .8/,aWr--LL ST•
Street Address
Owner: M SHEPQJM
Name Street Address City
Sprinkler Contractor: NORTHF..AST k'IRf` PP-OT LTD P Q Fc)x S AA :Vbm GT•
Name Street Address City
rypt of Building: Business Commercial Industrial Others
Classification of Wet Pre Action
System: Dry Deluge
Occupancy Classification: Light Hazard
Ordinary Hazard x
Extra Hazard
Size of Pipe Main: Size of Hose Connection:
N-.-mber of Temp. of Temp. Temp. Color.
Hea.ds Rating of Class Code
16 6OF Ord. Uncol. K
"- Intermed. White
High Blue
Ex.Hi. Red
V.Ex.Hi. Green
Ultra Hi Orange
P
0 .K,
DATE - 6
Insurance Approval Stand Pipe
Yes No Main Size
Riser Size
Nose Size
Remarks and Further Details:
ADD e,:, CIF-ADS ryP, A bcxr1CSNS AND AL-TaRA-T10ijS
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.
F"1 - 14(:�2
License No. Signature of Appl cant Date
FEE SCHEDULE
FEE: $0 --$1000 - $10 . 00
$1000 or fraction
Thereof -- $10 . 00