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APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 (PHONE) 860-644-2511 EXT. 230
DEPARTMENT DECISION PERMIT NUMBER:
APPLICATION IS HEREBY:
APPROVED: BLDG T NUMBER:
DATE INSPECTOR
LOCATION OF WORK.
APPLICANT• J �A`1( OWNER: TYPE OF STRUCTURE:
7113 -b
Y(�71�t (~ ,,J ❑NEW BUILDING
NAME:( \U �IJ`�l�''�lll NAME:���C! / �I,l VAC YY
a ❑ADDITION
PHONE NUMBER: � ! O 'E� PHONE NUMBER: TING BUILDING
, 0 ADDRESS: ( -7 4lu htlr S ADDRESS:
0 TYPE OF USE:
IDENTIAL ❑COMMERCIAL
PLUMBING INFORMATION: FURTHER DESCRIPTION
OF WORK:
TYPE OF INSTALLATION: ��}!r`~- yL �J / �/j/ PtJ'r r-J--p
NO.OF TOILETS: STYLE: NO.OF BATHTUBS:
NO.OF SHOWERS: NO.OF LAVATORIES:
NO.OF CATCH BASINS: NO.OF FLOOR DRAINS:
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW? J
DYES oNO ESTIMATED COST: $ ! /C66)
SIZE OF WINDOW: SIZE OF DUCTS:
SEWER OR SEPTIC TANK: FEE ENCLOSED:S
SIZE OF WATER PIPING AND RISER:
WATER HEATER: TYPE MANUFACTURER ( Ctc
FEE SCHEDULE:S18 PER SIM OF THE ESTIMATED COST.
ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS
$1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS PART
OF THE PERMIT FEE)
THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL
ORDINANCES AND STATE OF CO (IC,UT BUILDING CODES IN THE PE CE OF SUCH WORK. �r
CONTRACTORS LICENSE NO.: v / T STATE: C
SIGNATURE OF APPLICANT: DATE: ` !
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1800603 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 10/30/2018
GIS ID:93600165 FEE: 234.00
MUNIS APPLICATION# 201802099 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: MK CONSTRUCTION INC ADDRESS: 165 WEST ROAD
ADDRESS: 6 PLUM LN OWNER: KRIVICKAS ALBERT D
165 WEST ROAD
SOUTH WINDSOR,CT 06074-1129
DESCRIPTION OF WORK: BATH REMODEL
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE: �'=��-
OCCUPANCY GROUP: BUILDING OFFICIAL
10/30/2018 1:54 PM TIM FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1800604 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 11/13/2018
GIS ID:93600165 FEE: 18.00
MUNIS APPLICATION# 201802099 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: ROBERT BURCKARDT ADDRESS: 165 WEST ROAD
ADDRESS: 67 CHAMBERS STREET; OWNER: KRIVICKAS ALBERT D
165,_WEST ROAD
MANCHESTER,CT 06042
DESCRIPTION OF WORK: BATH REMODEL
SPECIAL CONDITIONS: PLUMBING BATHROOM
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED XE.BUILDING DEPARTMENT.
CONSTRUCTION TYPE: A__..
OCCUPANCY GROUP: BUILD CW OFFICIAL
11/13/2018 2:19 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE