HomeMy WebLinkAbout25 Bidwell Road (16)Office Use Only Date: g—f'/
No. /0 3' Est. Cost:
Bldg. Permit: Fee:
TOWN OF SOUTH WINDSOR
SPRINKLER SYSTEM APPLICATION
1540 SULLIVAN AVENUE
644-2511 Ext. 230
Location of Bldg. : jyP XW
Street Address
Owner:
Name Street Address City
Sprinkler Contractor: f yy,.`t t fo. r'xrhf, / 0/ ,00iG w/ bl-` )Ar/.ro
Name Street Address City
Type of Building: Business Commercial_ Industrial Other
Classification of Wet Pre Action
System: Dry q/ Deluge
Occupancy Classification: Light Hazard
Ordinary Hazard
Extra Hazard
Size of Pipe Main: Size of Hose Connection:1/at
Number of Temp. °F Temp. Temp. Color
Heads Rating°F Class Code
Ord. Uncol.
Intermed. White
High Blue
Ex. Hi. Red L/
V.Ex.Hi. Green
Ultra Hi Orange
O.K.
Date
BD 5A 11/88
Insurance Approval Stand Pipe
Yes No Main Size
Riser Size
Nose Size
Remarks and Further Details:
S'PaiN K cn rh a f eel *j5w 7e'1VA-A,/
1LL VORK COVERED BY THIS APPLICATION HAS BEEN AUT14ORIZED BY THE OWNER OF THIS PROPERTY
AND DILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
Y 9 3
I.icen-se \o. Signatu e of Applicant Date
FEE SCIII:DULE
I-E1E: S 0 - S1 ,000 - $10.00
S1 ,000 or fraction
Thcreof -- $10.00