HomeMy WebLinkAbout20 Brookfield Street (5)PERMIT NTO.
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DEPARTMENT DECISION APPL I CAT I O N FOR
Application is hereby : PLUMBING PERMIT
TOWM OF SOUTH WINDSOR
APPROV DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
Date Building Inspector Application must be printed or typed.
1. LOCATION OF JOB:
FEE SCHEDULE 2. OWNER:
0 - 1 000 -10.00
3. ADDRESS: 2y JRjO-OvLr
r 1oSd.
Over $1,000 -10.00 J V"
per $1 ,000 or 4. APPLICANT:V
fraction thereof
5. ADDRESS: 97 1' v+1
L ti 7
6. EST. COST:
7. IS THIS A CONTRACT COST? ES
4N9Ut7`8. FEE ENCLOSED: $
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAID.
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: C)
GENERAL PLUMBING
u
12. KIND OF INSTALLATION: T-46v3 wd e-ve, 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE lWtJv( 15. NO. OF URINALS a STYLE
16. NO. OF BATHTUBS 16A. NO. OF SHOWERS 1 17. NO. OF LAVATORIES S
18. NO. OF SINKS- 19. DISPOSAL 19A. DISWASHER
ct
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? S
27. SIZE OF WINDOW 2 '-x--3
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? woe<- -TA-c-4YL
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS N4
32. REMARKS AND FURTHER DETAILS LAJ f(l.{L
WATER HEATER
33. TYPE 34. MANUFACTURER C 1..1
TANKS SAFETY DEVICES
T121PERATURE
35. CAPACITY SO GIN 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER wt rs
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE 1S6
38. TYPE 42. MANUFACTURER
LICENSE NO. DATE' SIGNATURE OF APPLICANT
PHONE NO. G y7