HomeMy WebLinkAbout125 Bidwell Road (9)Office Use Only Date:
No. ev Est. Cost: g pc d
Bldg. Permit: .q/S-4) Fee: /gdGU
TOWN OF SOUTH WINDSOR
SPRINKLER SYSTEM APPLICATION
1540 SULLIVAN AVENUE
644-2511 Ext. 230
Location of Bldg. : 40
Stre et A dress
Owner:OW S 7—ir2 S S7 67.d c c l t./•(v
Name Street Address City
Sprinkler Contractor:
Name AStreet Address City
Type of Building: Business Commercial L,,-' Industrial Other
Classification of Wet [l--' Pre Action
System: Dry Deluge
Occupancy Classification: Light Hazard
Ordinary Hazard ---
Extra Hazard
Size of Pipe Main: Size of Hose Connection: or,,-65—
Number of Temp. °F Temp. Temp. Color
Heads Rating°F Class Code
Ord. Uncol.
160 Intermed. White
High Blue
Ex. Hi. Red
V.Ex.Hi. Green
Ultra Hi Orange
O.K.J
Date 10) 2
BD 5A 11/88
Insurance Approval Stand Pipe
Yes V No Main Size p
Riser Size
Nose Size
Remarks and Further Details:
A1.L I,.ORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY
AND MILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
1.1c ei'is No. Signature o Ap licant D• to
FEE SCHEDULE
FF- : S 0 — S1 ,000 — $10.00
51 ,000 or fraction
Thereof -- $10.00