HomeMy WebLinkAbout10 Abbe Road (8) PERMIT NO.
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
DATEI PLUMBING INSPECTOR Application must be printed or typed.
1. LOCATION OF JOB:
Liz e & �,,, a
1 2. OWNER: J9wdac, 04AA A,AP3%
3. ADDRESS:
FEE SCHEDULE tc.,1wc/Sa T'
0 - $1,000 - $10.00 4. APPLICANT: S. �'. LM-CA,0 SL�C•
Over $1,000 - $10.00 5. ADDRESS: �a S( \Rti✓1 �G�
per $1,000 or
Fraction Thereof
6. EST. COST:
7. IS THIS A CONTRACT COST? —YES
NO
8. FEE ENCLOSED: $
a�as&
9. TYPE OF BUILDIN
kZ����
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
l( ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: IV ALAI f
GENERAL PLUMBING
12. KIND OF INSTALLATION: 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES
18. NO. OF SINKS 19. DISPOSAL 19A. DISWASHER
20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE
22. AREA OF ROOF 23. NO. 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. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS
32. REMARKS AND FURTHER DETAILS w 14ST+1 9/l3 l�Jtttu. Sphlil�'°- /Gt• �- 1�
�+M-T�'CL �'�PxT��- /?lt�_ CLSTo YN'�r C�n�ifiO� qA'S �i Re-�JLAC G �! � �tliGc-i GIftS
10, , N _ /� C _ Non'1'i•�a Lx ► �u ►ItiaL�.Q(o. L � 5�h�al�G¢ /, /ll
LT P-s
WATER HEATER
33. TYPE b4-ror A L, 34. MANUFACTURER S 1117-e E���G
TANKS SAFETY DEVICES
_ TEPtPERATURE
35. CAPACITY 39. RELIEF VALVEL-
36. TEST PRESSURE LBS. 40. MANUFACTURER &-u n
37. WORKING PRESSURE f a LBS. 41. PRESSURE RELIEF VALVE /yc-, L
38. TYPE G'ASS `.2 cyKg 42. MANUFACTURER
LICENSE NO. DATE IGNATURE OF APPLICANT
PHONE NO. Sd e y4 6