HomeMy WebLinkAbout165 Berle Road (3)6464
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PLUMBING APPLICATION
Appliatiea p&6 7243
on the mi&of
Berle Road Street
Street tqo. 165
Owm Gr au shon sky, Nogrzgn
plumbs John Delponte
Fled in OiRm of
IU Boldmig
July 9 io 84
No person sW mr- add to or alas my
portion of the &ainor system of my bolft
ez=M to repak kdm) umd a A is gcmmd
by dw Building l[iqpamw.
APPLICATION FOR PLUMBING PERMIT (Continu d from R verse Sid )
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB /eG Rrv-k,
NO. STREET FLOOR APT NO.
GENERAL PLUMBING
12. KIND OF INSTALLATION r092 - 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE CZt2l<,j4ee 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES_18. NO.OF SINKS 19. NO. OF WASHTUBS
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? 'Q S 27. SIZE OF WINDOW
28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
a
SIGNATURE C °
H ADDRESS
i
LICENSE NO. 7 l ESTIMATED COST z Z `TELEPHONE 3
OWNER -' -lam ADDRESS
WATER HEATER
31. TYPE 32. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY 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 SIGNATUPtOF APPLICANT