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HomeMy WebLinkAbout19 Andmar Lane (6) PERMIT # Application For } x DEPARTMENT DECISION HeatingPermit � 0 0 c APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS Liu " APPROVED DISAPPROVED A I TOWN OF SOUTH WINDSOR 1, c a 2 00 d DATE CHIEF SPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW C 1. LOCATION OF JOB OS G NO. STR[[T c� v G7 v1 O) LOT NO. FLOOR APT. NO. O N 2. OWNER CIS w c s. ADDRESS be 3 4.PHONE 00 � C% S. APPLICANT d .0 °A S. ADDRESS 22 F. 7.PHONE — ,v . S. LICENSE NO. 3 C w s. EXPIRATION DATE OF LICENSE Q 10. ESTIMATED COST t t. IS THIS A CONTRACT COST► ❑ TES �NO b0 cc 12. FEE ENCLOSED S x IV Is. TYP O/F-JrA(MNG: b !LJ [fID[NTU1L ❑ COMMERCIAL �c 14. TYPE OF J 1k. INDUSTRIAL dpff GINAL ❑ ALTERATION INSTALLATION ADDITION �I REPAIR 1 � s " ZYF s 1X n • E F 4 cm 3 or V-74 F"72INJIM MR � kT MR wilt jr,111- Y �E R� h 1 a. C 96 a s r ! p 1 • � �i dl r 4.�r