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APPLICATION FOR PLUMBING PERMIT (Continu d fr m R verse Sid
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB 4/woov_l , I I
NO. STREET FLOOR APT.NO.
7qe, Bka 3c-)e V (f
GENERAL PLUMBING
12. KIND OF INSTALLATION 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE M sf• 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 3
22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND
11
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? U 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?
fnASIGNATUREADDRESSS -I cS v I A-0 a41--C CJ
LICENSE NO. ESTIMATED COST Q TELEPHONE eC2e Z:YC2y
OWNER L_1) ADDRESS S UI: Sf; 1CZeA6 /A-•%
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.
G090 DAtE SIGNATURE OF APPLICANT