HomeMy WebLinkAbout16 Blueberry Circle (5) PLUMBING APPLICATION
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The Bing IOVK or
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portion of the dr bmW system of ay bu&rmg
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by the Bull& Intpecw.
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APPLICATION FOR PLUMBING PERMIT (C ntinu d it m Reverse Sid )
TOWN OF SOUTH WINDSOR, CONN.
alb y 1�
11. LOCATION OF JOB 13)NCbC/ZFZ �C e- / a
4
NO. STREET FLOOR APT.NO. k
1
GENERAL PLUMBING
12. KIND OF INSTALLATION 4j"11Lr%4 / 13. SIZE OF MAIN DRAIN T ',
14. NO. OF TOILETS _STYLE 7;�i)h T d( 15. NO. OF URINALS — 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,2SIZE d
22. AREA OF ROOF — 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES l KIND / v 4ny"
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? C JL 27. SIZE OF WINDOW
28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE?
9
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATURE ADDRESS ez
LICENSE NO. ESTIMATED COST TELEPHONE Lo
OWNER �/e GN ��1�� �1 _ / ,� L
ADDRESS L
WATER HEATER
31. TYPE 0;/ �ilr 32. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE a/O
34. TEST PRESSURE /f0 A 1 38. MANUFACTURER_ 6L)d/1
35. WORKING PRESSURE e old / 39. PRESSURE RELIEF VALVE /jI o A�
36. TYPE ff /,-"/ 40. MANUFACTURER 4Id7 1
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 CO
C0962 OATE SjppfAT OF 7iCANT