HomeMy WebLinkAbout100 Bramlebrae (3)PERMIT NO.
q 35
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application is hereby :TOWN OF SOUTH WINDSOR
APPROV DISAPPROVED BUILDING INSPECTION DEPT.
1540 SULLIVAN AVENUE
1 5A, V --. 644-2511 Ext. 230
Date Building Inspector Applications must be printed or typed
1. LOCATION OF JOB:
FEE SCHEDULE 2. OWNER:
0 - $1 ,000 - 10.00 3. ADDRESS: 16,;p nz
Over $1 ,000 - 10.00 S k/i g-
per $1 ,000 or 4. APPLICANT:fraction thereof
5. ADDRESS: 22-
6. EST. COST:
7. IS THIS A CONTRACT COST? Y ES
08. FEE ENCLOSED: 9 i b
9. TYPE OF BUILDIN :
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
IGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: /LU v MJ[_C)5)el t n.?,
GENERAL PLUMBING
12. KIND OF INSTALLATION:13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE%,fA/-- 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? %5
27. SIZE OF WINDOW 2 3
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 3
32. REMARKS AND FURTHER DETAILS
WATER HEATER
33. TYPE 34. MANUFACTURER
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACITYZ G,S 39. RELIEF VALVE ZUd
36. TEST PRESSURE LBS. 40. MANUFACTURER ,,/11 Si5
37. WORKING PRESSURE gb LBS. 41. PRESSURE RELIEF VALVE
38. TYPE.1A/r**>/i r 5j rt C, -42. MANUFACTURER lu t}11-r5-
LICENSE NO. bATE SIGNATU E OF APPLICANT
PHONE NO.