HomeMy WebLinkAbout22 Arrowwood Circle (5)7
PLUMBING APPLICATION
Appucaam Nm -7--?6 S-
on the .-- of
1- 5 r i 6-
AZ Ot O Ur u.o a D r i A Sam
Saett No.
Owner 1-229:a E 140 M
Plumber _.. fR k-,Q
Filed in Office of
The B"ng Iaipccsor
192
No person shall construct, add to or aloer ay
portion of the drainage system of ay bm7d'mg
except to repair ") tined a Prrm;e i gramed
by the Building Lapecooc
APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB 9,2- q &Ao cti CA_ UOb
NO. STREET FLOOR APT.RO.
GENERAL PLUMBING
12. KIND OF INSTALLATION QI F'.Z- 13. SIZE OF MAIN DRAIN_
14. NO. OF TOILETS `--3 STYLE 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS ;?-- 17.NO.OF LAVATORIES -3 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
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. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATURE ADDRESS D
j O CC "A' /9 S o2
LICENSE NO. P I ESTIMATED COST sc'i TELEPHONE _9 e 96"(ff 6
OWNER Va Zg A4,_- e ADDRESS
WATER HEATER
31. TYPE 32. MANUFACTURER
TAM( 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.
C D962 DATE SIGNATdW OF APPLICANT