HomeMy WebLinkAbout10 Abbe Road (5) PERMIT NO.
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DEPARTMENT DECISION A P P L I C A T I O N F O R
APPLICATION IS HEREBY: PLUMBING PERMIT
APPROVED DISAPPROVED TOWM OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
644-2511 Ext. 230
DATE ECTOR Application must be printed or typed.
1. LOCATION OF JOB: )
2. OWNER: //It d oc, C/1 nAka YV yu ¢x y
3. ADDRESS: 0-
FEE SCHEDULE 9D (All It, eG�O� e
0 - $1,000 - $10.00 4. APPLICANT: & 1 • LA_�)<A, �
Over $1,000 - $10.00 5. ADDRESS: l \62c, a
per $1,000 or /
Fraction Thereof �d W►Y` 4JO r
6. EST. COST: $
7. IS THIS A CONTRACT COST? YES "NO
8. FEE ENCLOSED: 6 D- C, t�
9. TYPE OF BUILDIN
RESIDENTIAL COMMERCIAL
10. TYPE OF�JOOBB:
'� OR GINAL ALTERATION
`INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: l k �!� t
GENERAL PLUMBING
n
12. KIND OF INSTALLATION: � 4.(.A/ 13. SIZE OF MAIN DRAIN G� P �.•
14. NO. OF TOILETS 6 STYLE S'-V'-r 15. NO. OF URINALS STYLE -"
16. NO. OF BATHTUBS o- 16A. NO. OF SHOWERS _� 17. NO. OF LAVATORIES
18. NO. OF SINKS 2-' 19. DISPOSAL 19A. DISWASHER I
20. NO. OF CONDUCTORS 3 SIZE 3 21. NO. OF STACKS Zj SIZE
22. AREA OF ROOF 23. NO. OF CATCH BASINS yy, `'' 24. NO. OF FLOOR DRAINS r
25. NO. OF OTHER FIXTURES l KIND (�tAS� jv M^hi,,-40
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? w rJ
27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? yha4,�1 �
u �r
29. SIZE OF DUCTS / 30. SEWER OR SEPTIC TANK? Gtti P R..
31. SIZE OF WATER MAIN ` 31A. SIZES OF WATER PIPING & RISERS tl dam- 4�-
32. REMARKS AND FURTHER DETAILS
�7 WATER HEATER
33. TYPE 34. MANUFACTURER 45Th T c.
TANKS SAFETY DEVICES
TEMPERATURE )
35. CAPACITY 60 C7' AY 39. RELIEF VALVE L(.,n T1,S
36. TEST PRESSURE f Ej L LBS. 40. MANUFACTURER
37. WORKING PRESSURE L a LBS. 41. PRESSURE RELIEF VALVE
38. TYPE )1.x7c,(trK, 42. MANUFACTURER 1 r
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LICENSE NO. DATt SICIYATURE OF APPLICANT
PHONE NO. S ; Y- �,176