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HomeMy WebLinkAbout106 Bourbon Street (4)6443 PLUMBING APPLICATION on the sick of Strat No, ._. Lx ! 1 n r, 01 e Phnnber Filed in Office of The Bw-&&g Lrpacoor June 5 j98 4 RCl'!0 No person shall coal add w or alder ay portion of the drainye wau m of my 6au'l&g cmept to repair leaks) awd i Be is gra oed by the Building Impomr. APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB LOT Y 2 "'POCJ IQ D QLl ':S Y, NO. STREET FLOOR APTAO. GENERAL PLUMBING 12. KIND OF INSTALLATION 13. SIZE OF MAIN DRAIN r 14. NO. OF TOILETS `2- STYLE C /L 15. NO. OF URINALS_0 STYLE 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS l 19. NO. OF WASHTUBS r_ 0 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 L ( S/?4ks P 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW " X 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS !- 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? SIGNATURE ADDRESS lQ 7 LICENSE NO.al2r LS LSD ESTIMATED COST ;3 6v TELEPHONE2?f1 ea'rl OWNER ADDRESS 2Lpj- S 61 WATER HEATER 31. TYPE 32. MANUFACTURER 29 Q TANK SAFETY DEVICES ar 33. CAPACITY l Q 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