HomeMy WebLinkAbout101 Abbe Road Ext. (2) PLUMBING APPLICATION
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Filed in we of
The BmUng
No person shall cmanu t, add to or aloes ay
portion of the drAinW system of ay boUng
(except to repair 66) um W a Permit is smesd
by the Building
APPLICATION FOR PLUMBING PERMIT (Continu d fir m Revers Side)
TOWN OF SOUTH WINrD'SOR, COONGN.
11. LOCATION OF JOB
NO. STREET FLOOR APT.NO.
GENERAL PLUMBING
12. KIND OF INSTALLATION "'_t 13. SIZE OF MAIN DRAIN 7"
14. NO. OF TOILETS STYLE 15. NO. OF URINALS STYLE �/ L
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES -3 18. NO.OF SINKS 19. NO. OF WASHTUBS
20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE 3
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? /c) 27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? rq'd
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATURE ADDRESS
LICENSE NO. C--26c2 �� �, ESTIMATED COST TELEPHONE
OWNER ��.f 60 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 OF APPLICANT