HomeMy WebLinkAbout125 Ellington Road (2) TRANSMISSION VERIFICATION REPORT
TIME 11/05/2002 13:19
DATE,TIME 11/05 13:18
FAX NO./NAME 913037538964
DURATION 00:00:57
PAGE(S) MA
RESULT OK
MODE DARD
ECM
FAX COVER SHEET
BUILDING DEPARTMENT 40
TOWN OF SOUTH WINDSOR y
1540 SULLIVAN AVENUE ° ~
•l 'U
SOUTH WINDSOR, CT 06074 x
(860) 644-2511 EXT. 230 FAX (860) 644-3781 �r�'�soR;co�'`'�`
Date: t10
TO: Jhet K-1644SC4
COMPANY:
FAX NO.: 3 -7 S3 F' 6 /
FROM:
TITLE:
MESSAGE: e Q V P S
If you did not receive all pages (including the cover), or if you have any
questions, please call 644-2 1 ext. 230 as soon as possible.
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Location of Job: AFFIDAVIT Additional Fee$ 5 7 0 7.
State of Connecticut
' ss.South Windsor
;.. County of Hartford
Owner
I John GottSCh of J.E. Dunn Cons truntinr,Agent for the building erected
Contractor
under Permit No.2 8 6 5 8/2 8 9 7 3 issued by the Building Department of the Town of South Windsor being
' duly sworn, 7 0 3 9 6 7 2.
r-• - y rn,make oath and say that the actual cost of the completed work authorized under said permit was � r
Signed
`. Subscribed and sworn to before me this day of A.D.20
Estimated Cost S 6 ,6 0 0,8 7 5 .
Difference: $
438,797 .
Notary Public
'I