HomeMy WebLinkAbout121 Bourbon Street (3) 7049
PLUMBING APPLICATION
App ML 619 0
on the ------__ of
_............_....... .__._ Sweet
Street No. Pax S�;
Owner
Ply ....,.,.____E. Thomas Field
Filed in Office of
The Burg Inrpecoor
July 8 io 86
II R SC'TION.
No person:hall aoearoet, add to a alder my
portion of the &aimp Waton of ay huMag
(c=pt to repair leans) umg a Plermit is grmoed
by the Building Inm uaw.
APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB
NO STREET FLOOR APT NO.
GENERAL PLUMBING
12. KIND OF INSTALLATION //�~ � f// 13. SIZE OF MAIN DRAIN Ar
14. NO. OF TOILETS STYLE 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 SIZE
22. AREA OF ROOF 23.N0. 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? C
SIGNATURE f ADDRESS ` X 5
r ej
LICENSE NO. ESTIMATED COST- 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.
CD962 DATE SIGNATURE O APPLICANT