HomeMy WebLinkAbout1675 MAIN ST (14) ,Electric# ba�7�! APPLICATION FOR BUILDING PERMIT
Plumbing# 02 T-0
HVAC # 1675 Main Street Date:
Sprinkler# 29515
FINAL O Estimated Cost $
Buildin COMPLETE RED BOXED AREAS Permit Fee $
Enginee n TYPE OR PRINT ONLY Occupancy Fee $ /
Affidavit Eng.Insp.Fee $
Appr.for C SIGN ON REVERSE SIDE
Total Fee $
TO THE B I NG DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ 3
The undersigned hereby applies to do work according to the following.
Applicant rye. �' i Location of Work__ 2 67s /`9Ai S Lot No.
Applicant's Address Tel.# y36 e1 rz-2
Town ' �srt� ,� ��'Q� Zip q o�4�Lic.#
Owner_ Architect
Owner's Address s � ip Architect's Address
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Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Zip
Purpose of this permit V t--ccye.j /2.e,._ave Ly ovo
G �
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved 1'.- — Date
Use Group Construction Type
Revised 6102