HomeMy WebLinkAbout191 Bourbon Street (4)6532
PLUMBING APPLICATION
gpp;,r„ rTa 7 310
an the_.._..aide of
Ld SeRect
Street NO.v
Owner
Pluaaber
Fled in Office of
The bnl&g Iarpecoor
Sept. 21 19 g g
B m jLz n a .
No peon 9W ooararuct, add m or alder ay
portion of the &acme qmu m of any bolft
wept to repair 66) uaa a Peask is prated
by the BuWft Lupmw.
APPLICATION FOR PLUMBING PERMIT (Continued from Revers Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB L -F T ' -R61 up, b (,/.In
NO. STREET FLOOR APTAO.
GENERAL PLUMBING
12. KIND OF INSTALLATION 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS 3 STYLE c/ C,_ 15. NO. OF URINALS U STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 3 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 i KIND a
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW 2 Y --
28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? 7
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATURE ADDRESS 0
LICENSE NO. d' ESTIMATED COST j • L'L TELEPHONE Go102n
OWNER ADDRESS
WATER HEATER
31. TYPE 32. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE_ cl 38. MANUFACTURER_
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE 40. MANUFACTURER
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY T OWNER OF THIS PROPERTY
AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING OD
4v - ke._
CD962 DATE SIGNATURE OF APPLICANT