HomeMy WebLinkAbout125 Bidwell Road (6) PERMIT
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DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
qAPPCV _r
ROV DISAPPROVED 1540 SULLIVAN AVENUE
� . ", 644-2511 Ext. 230
a e Building Inspector Applications must be printed or typed
1. LOCATION OF JOB:
10S7 Aiz7wat,4
FEE SCHEDULE 2. OWNER: QqST emifs' A112- CO•
3. ADDRESS:
$ 0 - $19000 - $10.00
�vr� W1 N/�s&72 Ci 7
Over $1 ,000 - $10.00
per $1 ,000 or 4. APPLICANT:
fraction thereof -5. ADDRESS: f�d �� �� J�b
507wr7p" �iV,o�olz
6. EST. COST: $ ��
7. IS THIS A CONTRACT COST? " YES NO
8. FEE ENCLOSED: $ Cliff
9. TYPE OF BUILDING:
RESIDENTIAL /V COMMERCIAL
10. TYPE OF JOB:
RIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: !��/ f Dly�lifi /�,> .
GENERAL PLUMBING
12. KIND OF INSTALLATION: lyezf/ 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE 15. NO. OF URINALS / STYLE tAALG
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 a
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? /vo
27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 1"A
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? -!5��lliyegZ
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS
32. REMARKS AND FURTHER DETAILS
Asp-�/�
WATER HEATER
33. TYPES 34. MANUFACTURER
TANKS SAFETY DEVICES
TEMPERATURE �D o
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE IG LBS. 40. MANUFACTURER
37. WORKING PRESSURE ( G� LBS. 41. PRESSURE RELIEF VALVE
38. TYPEL���i'G 42. MANUFACTURER
- �
A�ke/ 9 �
LICENSE NO. DATE SIGNA URE F APPLICANT
PHONE NO.