HomeMy WebLinkAbout18 Bissell Court (5)PERMIT NO.
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DEPARTMENT DECISION APPLICATION F O R
Application is hereby : PLUMBING PERMIT
TOWM OF SOUTH WINDSOR
APPROVED DISAPP VED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
t---1 4 2
Date Building Inspector Application must be printed or typed.
1. LOCATION OF JOB:
G
FEE SCHEDULE Dl212. OWNER:
L
3. ADDRESS: /10r ej)
0 - $1 ,000 -10.00
Over $1,000 -10.00
per $1 ,000 orP 4. APPLICANT:
fraction thereof
5. ADDRESS: D
6. EST. COST: $ ac Df D
7. IS THIS A CONTRACT COST? S NO
8. FEE ENCLOSED: $ 1}
l a
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: e TT
GENERAL PLUMBING
12. KIND OF INSTALLATION: 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE 7-;jZ 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
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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? ifs
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 Y
32. REMARKS AND FURTHER DETAILS Pltl,-1 h.f%/1 0
e IJ-
WATER HEATER
33. TYPE 5- _ L, 34. MANUFACTURER
TANKS SAFETY DEVICES
TE11PERATURE
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 SIGNATURE OF APPLICAN
PHONE NO. L o?Y