HomeMy WebLinkAbout20 Bramlebrae (17)PERMIT NO.
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application is hereby :TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
n 1. 644-2511 Ext. 230
Date Buil i g Inspector Applications must be printed or typed
1. LOCATION OF JOB:
C1 c - 'n 6(e-
FEE SCHEDULE 2. OWNER:
0 - $1 ,000 - 10.00
3. ADDRESS:
Over $1 ,000 - 10.00 1
per $1 ,000 or 4. APPLICANT: lI/ v m C'r7 fit/ /P'VCfractionthereof
5. ADDRESS: P(,) Ratcheov-z
d z!2
0
6. EST. COST: $ f XQ C), 0
7. IS THIS A CONTRACT COST? YES NO
8. FEE ENCLOSED:
Jjo
9. TYPE OF BUILDI_
JZ (
f.: P?4 0
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: 2 Y14 le, Rr--a-
GENERAL PLUMBING
12. KIND OF INSTALLATION: Vez- 13. SIZE OF MAIN DRAIN t
14. NO. OF TOILETS STYLE /, 6 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
20. N0. 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
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? P
27. SIZE OF WINDOW_6 PC 15c
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?s''Lj gne'
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS 3
32. REMARKS AND FURTHER DETAILS
2"(f4ctJ -5t Q
WATER HEATER
33. TYPE 34. MANUFACTURER
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
2o qa. (n
7
10 09/t36A-- . .w F- F; ilLICENSE140. D,9YE V ZGNATURE OF APPLICANT
PHONE NO. j?7v? - 4 NN-Yl