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PLUMBING APPLICATION
APPfialtinn-N-6� 7 051
an the__ "of
Ln t #11 Abar Lane sum
Street No. _ 14
Oanet Richard Carabillo
Plumber ^ South Windsor Plubg. & Htg.
Filed in Office of
The Buw6g Iaipecmr
Oct_ 19 19_$3
No person,hall conscrvct, add to car aher saw
portion of the diaimge s'st m of any bulfimg
(except to repair leaks) until a P '- is gra and
by the Building Inspector.
APPLICATION FOR PLUMBING PERMIT (Continued from Revers Sid
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB XDr // A/ m
NO. STREET FLOOR APTAO.
GENERAL PLUMBING
12. KIND OF INSTALLATION [—�1y.P//--e A/U,% 6A' S JIiJ 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS 6Z STYLE ���✓�� a O C' 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS_17.NO.OF LAVATORIES 0 18. NO.OF SINKS 19. NO. OF WASHTUBS
20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS_ SIZE J,
22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND vv --
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? �Iec l"- �417
ri
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? lyeS
SIGNATURE ADDRESS / rsl�i� �� `� (�oy�i� fir�t✓i
LICENSE NO. 670- ESTIMATED COST TELEPHONE
OWNER &:L C�!� L '��� Cull ADDRESS l�nG����L,���c �� VOU�// GC✓'t �-'�
0 WATER HEATER
31. TYPE !/Cc S i 171,1C �/l(G� 32. MANUFACTURER �y ✓ � /`�
TANK SAFETY DEVICES
33. CAPACITY ela 6Q/C>7 1 37. TEMPERATURE RELIEF VALVE o7/0 C.
34. TEST PRESSURE_ /lo��C/ 38. MANUFACTURER_ (iUD} r
35. WORKING PRESSURE �U/b I 39. PRESSURE RELIEF VALVE l LJZ�f
36. TYPE �It j (71C4 �e/� 40. MANUFACTURER
T-'
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.
U
CD962 DA E SIGNATU OF PLICANT