HomeMy WebLinkAbout17 Bridlewood Road (5)APPLICATION FOR PLUMBING PERMIT (Continuwd from Rev rs• Sid
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB J lqcvsoon AtT.NNo. STRIE"
GENERAL PLUMBING
12. KIND OF INSTALLATION 13. SIZE OF MAIN DRAIN
14. NO.OF TOILETS STYLE 15. NO. OF URINALS - STYLE
16. NO.OF BATHTUBS=_17.NO.OF LAVATORIES——18. NO.OF SINKS_19. NO. OF WASHTUBS
20. NO.OF C NOUCTORS__SIZE 21. NO. OF STACKS_L_SIZE 3
1
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? :e 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
2
Z ESTIMATED COST TELEPHONELICENSENO.
OWNER J Y ADDRESS /6 "4,5 Z0e_6,,l1
WATER HEATER
31. TYPE pJ,I 32. MANUFACTURER 32r
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.
C0962 OATS IGNATURE OF APPLICANT
PLUMBING APPLIC`.ATION
i
App icatiao Noy 7i 72
on the ......-... of
RPa stet
street No. .......
owns ....c6 6-e
Plumber .... .e Yc,V
Filed in Olicc of
T6 BA ing Ins MW
II I oZfo i.
No pawn &A Omsauct, add to at alder my
portion of the drainage skean of my bua&g
escept to tgmw 66) MW a Pleank is W=md
by tie Building Inepecaw.