HomeMy WebLinkAbout269 Abbe Road (14)PERMIT N0.
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DEPARTMENT DECISION APPLI CATION FOR
Application is hereby: PLUMBING PERMIT
TOWM OF SOUTH WINDSOR
zDat7f-DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
Building Inspector Application must be printed or typed.
1. LOCATION OF JOB:
6 q6
FEE SCHEDULE 2. OWNER:
7 [
0 - $1 ,000 -10.00
3. ADDRESS:Z69
Over $1 ,000 -10.00
per $1 ,000 or 4. APPLICANT:
fraction thereof
5. "DRESS:S r
64 a
OD
6. EST. COST: $ 2-Q 00
7. IS THIS A CONTRACT COST?YES NO
8. FEE ENCLOSED: $ -26A 00
9. TYPE OF BUILDING:
3
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 jig 0'
GEN RAL PLUMBING
12. KIND OF INSTALLATION: e(pe,,,ri / 13. SIZE OF MAIN DRAIN /
14. NO. OF TOILET STYLE 15. NO. OF URINALS t STYLE
16. NO. OF BATHTUBS_ 16A. NO. OF SHOWERS 2 17. NO. OF LAVATORIES
18. NO. OF SINKS_ 19. DISPOSAL O 19A. DISWASHER -V
20. NO. 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?
27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISEit
32. REMARKS AND FURTHER DETAILS S Z6
WATER HEATER
33. TYPE 34. MANUFACTURER
TANKS SAFETY DEVICES
TE,1PERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
1
7-03Y yl: s
LICENSE NO. DATE SIGN RE OF APPLICANT
PHONE NO. Z 9 7 -/j