HomeMy WebLinkAbout171 Bourbon Street (12) Office Use Only Date: ?1,21!�'?
No. 1470 Est. Cost: 000
Bidg, Permit: Fee: /� o
TOWN OF SOUTH WINDSOR
SPRINKLER SYSTEM APPLICATION
1540 SULLIVAN AVENUE
X644 -2511 EXT. 230
Location of Bldg.:
Street Address
Owner: CT 4( Ne P
Name Street Address City
Sprinkler Contractor: 5d�1 /V 1,t co (p7 ,SIT
Name Street Address City
rypt of Building: Business Commercial Industrial Others
Classification of Wet Pre Action
System: Dry Deluge
Occupancy Classification: Light Hazard �l
Ordinary Hazard
Extra Hazard
Size of Pipe ;Main: Size of Hose Connection:
N:-mher of Ternp. of Temp. Temp. C for
HeaLds Rating of Class Code
. 7Y A� Ord. Uncol.
r�d Intermed. White
High Blue
Ex.Hi. Red
V.Ex.Hi. Green
Ultra Hi Orange
O .K.
DA T
Insurance Approval Stand Pipe
rr
Yes No Main Size
Riser Size
Nose Size
Remarks and Further Details:
� s '
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY
AND WILL BE DONE IN STRICT ACCORDANCE WITH THE LDING CODE.
License No. ign frure of Applicant I D to
FEE SCHEDULE
FEE: $0 --$1000 - $10 . 00
$1000 or fraction
Thereof -- $10 . 00