HomeMy WebLinkAbout105 Bourbon Street (4) 6396
PLUMBING APPLICATION
gppl;r, Noy 7174
on the side of
_..._. ��. b_.11il Lot #6 9 ,
Strat rid ._ X 105
Owner
Phmeber _
Filed in Offuz of
The Bugg�pecoor
April 2
No person shall ooasavct, add m or aloer my
patios of the drainage wsom of my boldieg
(ampt to repair h06) an&a Ple®it is gummed
by the Building lovecow.
APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB L07 L l !e b 6411,
NO. STREET FLOOR APT.NO.
GENERAL PLUMBING
44
is
12. KIND OF INSTALLATION 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS 1.7 STYLE <✓ 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS 19. NO. OF WASHTUBS
a,
20. NO.OF CONDUCTORS 42 SIZE 21. NO. OF STACKS SIZE 3
22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND .IV ale A,-' Wit= 0 le
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 'J 27. SIZE OF WINDOWih Y 3 c
r�
28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS �- 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATURE ADDRESS 1d2
LICENSE NO.c���.� ESTIMATED COST 3 TELEPHONE
OWNER AADDRESS
WATER HEATER
31. TYPE 32. MANUFACTURER
/�-
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE 38. MANUFACTURER
35. WORKING PRESSURE l �y 39. PRESSURE RELIEF VALVE
36. TYPE 40. MANUFACTURER W'oe l
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 C E.
-.k 4 -
CD962 DATE SIGNATURE OF APPLICANT