HomeMy WebLinkAbout10 Bidwell Road (2)rRMIT_N0.
7
DEPARTMENT DECISION
APPLICATION FOR PLUMBING PERMITApplicationishereby :
TOWN OF SOUTH WINDSOR
APPROVE DISAPPROVED BUILDING INSPECTION DEPT.
1540 SULLIVAN AVENUELU644-2511 Ext. 230
Da a Building Inspector
Applications must be printed or typed
1. LOCATION OF JOB:
is 3 « /20
FEE SCHEDULE
2. OWNER: Iq 1'f l° 17
0 - $1 ,0 0 0 -10.0 0 3. ADDRESS: /c 131,0P
Over $10000 - 10.00 S• W1/1/o
per $19000 or ffractionthereof4. APPLICANT:
5. ADDRESS: /Ci j.3c),yy/ r2 le_
6. EST. COST: $ !j
7. IS THIS A CONTRACT COST? YES XNO
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: 51p Cal/ G G y
GENERAL PLUMBING
12. KIND OF INSTALLATION: V11# 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS_-A--STYLE 15. NO. OF URINALS _%'j .i} STYLE
0
16. NO. OF BATHTUBS 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES AX
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 --2
32. REMARKS AND FURTHER DETAILS /'V) T` c / /r/
y Z IAG C'
WATER HEATER
33. TYPE 34. MANUFACTURER
TANKS SAFETY DEVICES
TEMPERATURE
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 SI ATURE OF i F UANT
PHONE Np.5 5
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