HomeMy WebLinkAbout28 Amato Drive (17)PERCMIT NO.
DEPARTMENT DECISION A P P L I C A T I O N F O R
Application is hereby :Y : PLUMBING PERMIT
TOWM OF SOUTH WINDSOR j
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
Date B ing Inspector Application must be printed or typed.
1. LOCATION OF JOB:
A 41 4, Wn
FEE SCHEDULE 2. OWNER: WcST/aG I ONAt Assn .
3. ADDRESS: /gyp 134)X 7 90 - $1 , 000 -10.00
Over $1 , 000 -10 .00
per $1 , 000 or 4. APPLICANT: C,O y 4 C ,ry
fraction thereof p BoX y
5. ADDRESS: pt l
2 r?
6. EST. COST: $ /,.02 co
7. IS THIS A CONTRACT COST? YES NO
8. FEE ENCLOSED: $ L
Rm e r- 1
9. TYPE OF BUILDING:8 y I A,
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
1
i
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: &4 40 L.
GENERAL PLUMBING
12. KIND OF INSTALLATION: P rG (/m 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS _STYLE 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES
18. N0. OF SINKS_ 19. DISPOSAL 19A. DISWASHER
20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS_ _SIZE 3`r
22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND C/Ci 4 an Ac
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? /u b
27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? qcJ 5
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING/ &1RISERS
32. REMARKS AND FURTHER DETAILS Fri r l G c Zt e h C144rc-w ev,
1
LeC A-1 P C( i r4
Its
WATER HEATER
33. TYPE 34. MANUFACTURER
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
03 S 9
LICENSE NO. DATE SIG ATURE fF APPLICANT
PHONE NO.