HomeMy WebLinkAbout250 Abbe Road (4)PERMIT NO.
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DEPARTMENT DECISION APPLICATION FOR PLUMBING PERb1IT
Application is hereby :TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
a 644-2511 Ext. 230
ate 1 i c or Applications must be printed or typed
1. LOCATION OF JOB:
FEE SCHEDULE 2. OWNER ef A, " re_j
ee o
0 - $1 ,000 -10.0 0
3. ADDRESS: sOVv SL C.e-d Cad y P
Over $1 ,000 - 10.00
per $1 ,000 or 4. APPLICANT:
fraction thereof
5. ADDRESS: f 1Ll
6. EST. COST: $
7. IS THIS A CONTRACT COST? YES I QO
i 8. FEE ENCLOSED: $ / .
9. TYPE OF BUILDING:
L,- ESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
ORIGINAL ALTERATION
r/ INSTALLATION AT TION
RREEPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: *p Ai&& (, klj CYO 1
GENERAL PLUMBING
12. KIND OF INSTALLATION: rvc_ 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS_ STYLE 15. NO. OF URINALS STYLE -
16. NO. OF BATHTUBS__rp-I6A. NO. OF SHOWERS 17. NO. OF LAVATORIES---f
18. NO. OF SINKS__,,,;)- 19. DISPOSAL ---- 19A. DISWASHER
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? 4
27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?
t
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS
32. REMARKS AND FURTHER DETAILS
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
oc vy\k-o C-A
LICENSE NO. DATE SIGNATURE OF APPLICANT
PHONE NO. 7'`