HomeMy WebLinkAbout19 Ann Road (14)PLUMBING APPLICATION
Appliattiou H&
on the ...__---.. aidc of
Street No. ----- /_L___
fA 1.Czv
llvat., CA ji-Tek1 ZerrLEE'mb"' X—'
Filed in Office of
The Building
No pessou:ball coosteoct, acid to or alter ayr
portion of the drainage system of may bwl&ng
except to nwir 66) until a ommed
by the Building Ingmmor.
APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB 1/7"2 Z/NO STREET FLOOR APT.NO.
GE NER/A L' PLUMBING
12. KIND OF INSTALLATION jfL' odc_ /l ej"wch/. "l 13. SIZE OF MAIN DRAIN 7
14. NO. OF TOILETS STYLE 5/y'''` /cy./ 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 L?
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?27. SIZE OF WINDOW
28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? 64c/ ' f'i'ry
29. SIZE OF DUCTS 2`30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? f
SIGNATURE ADDRESS .r,2 e'aa,'LLL, / yr c JC,(
LICENSE NO. n7&L3 E E ESTIMATED COST _2 00 TELEPHONE 12P _k gl-l"
OWNERr_r/cl i( ADDRESS "9NN lz' If ' l o 7 4
WATER HEATER
31. TYPE
i
32. MANUFACTURER
J
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.
C0962 ATE NA7U OFAPP CANT