HomeMy WebLinkAbout15 Blueberry Circle (6) 7249
PLUMBING APPUCATION
Applicatim NL 6 919
on the.... of
.......1�_...__.__.
< W 0C f r-Kc t-�
_..... . tic C Est rs S- -
Street No. ....... Z5—
Owner ���L ' U/
9QJ
Plumber
Filed in Office of
The Building Iaspoctor
Fib. 9 19 �7
n�rsP�c,�ox.
9
No person shall comas, add m at altar my
portion of the drainage wsu m of any buldOg
(except to repair leaks) until a Ple:mit is gmmd
by the Building Inspector.
APPLICATION FOR PLUMBING PERMIT (Continu d from Revers Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB .110115 /�/Otr--- —6"&zcj02 - �z
NO STREET FLOOR APT.NO.
GENERAL PLUMBING
12. KIND OF INSTALLATION 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE � 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS f--P 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? 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?
SIGNATURE
ADDRESS JyV �'
LICENSE NO. ESTIMATED COST D
TELEPHONE
OWNER ADDRESS
WATER HEATER
31. TYPE 32. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE_ 38. MANUFACTURER
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE 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.
C0962 DATE SIGNATURE OF APPLICANT