HomeMy WebLinkAbout15 Apple Tree Lane (11) PERMIT NO.
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DEPARTMENT DECISION A P P L I C A T I O N F O R 63 P,15--g
Application is hereby : PLUMBING PERMIT
TOWM OF SOUTH WINDSOR
APPROVED DISAPPR ED BUILDING INSPECTION DEPT.
Z$ K1) 644-2511 Ext. 230
Date B ding Inspector Application must be printed or typed.
1. LOCATION OF JOB:
�pAe Tree La�-e
FEE SCHEDULE 2. OWNER: To Ke � Ia.,
I 3. ADDRESS: lC )�rJale 140
$ 0 - $1 ,000 - uu�- r 'J
Over $1 ,000 - $I-G nn
per $1 ,000 or 4. APPLICANT: I+K r/U"i-7 ( U C
fraction thereof 5. ADDRESS: Q • go)( oZ
1,4r-ntl, C
6. EST. COST: $ CA)
7. IS THIS A CONTRACT COST? YES NO
8. FEE ENCLOSED: $
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: /� �j�/�
GENERAL PLUMBING
12. KIND OF INSTALLATION: / 13. SIZE OF MAIN DRAIN '�
14. NO. OF TOILETS STYLE-�H IC 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 KINDa he it �Zj^k S + LtAs A Sinf('
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? tl-e S
27. SIZE OF WINDOW / ,\
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? E-Q tx-(A
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS _
32. REMARKS AND FURTHER DETAILS 2 J ec
G 3 S /<r /n ,6 f-� /4 3%trr
WATER HEATER
33. TYPE 34. MANUFACTURER
TANKS SAFETY DEVICES
TE11PERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
LICENSE NO. DATE SIGNA URE OF APPLICANT
PHONE NO. ?2�3 ���