HomeMy WebLinkAbout105 Andries Trail (6) 6494
PLUMBING APPLICATION
Apphcadmp6x 7272
on the / siide of
__ e5&�- — sum
Street No. 105
Owner
Pk mbar
Filed in 2of
The Building Iarpeaor
Aug. 1 19 84
No pen=-shall ooaternct; add m or abet any
portion'-of the I i- ge syst m of my banding
(ezmpt to t+epsir leab) until a A it is gaimad
by the Building Impectw.
APPLICATION FOR PLUMBING PERMIT (Continu d from R verse Side)
TOWN OF SOUTH WINDSOR, CCONN.
11. LOCATION OF JOB
NO. T- STREET FLOOR APTAO.
GENERAL PLUMBING
12. KIND OF INSTALLATION ' L 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLEt 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 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 A// . /YJ
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. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATUR ADDRESS
LICENSE NO. �` �(o ESTIMATED COST o2 B—f�U TELEPHONE Lo
OWNER �/ C��� 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