HomeMy WebLinkAbout21 Arrowwood Circle (4)PLUMBING APPLICATION
Avp"dm No. 71 9b
on the . Aide of
Street No. _ _/—OT
Owner
Plumber _ Ila l &L4, (
Filed in Office of
The Building Lrpector
igf-7
II iBP C'nOR
No person shall 000stroct, add to or alter aq
portion of the drainage sum of my bu&ieg
e:aept to repair leab) until a Permit is gmmted
by the Building Inspector.
APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB L /S [/c y C()BD-1p
NO. STREET FLOOR APT.90.
GENERAL PLUMBING
12. KIND OF INSTALLATION
A/Pi11tJ 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE 166 a! l S 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES v 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 KIND
c
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? S 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?
SIGNATURE ADDRESS
LICENSE NO. 7 5X ESTIMATED COST `N 3, 0-0-0, O-D TELEPHONE
OWNER ADDRESS
WATER HEATER
31. TYPE JL L S_S 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.
3
CD962 DATE SIGNATURE OF APPLICANT