HomeMy WebLinkAbout1675 MAIN ST (7) Electric# APPLICATION FOR BUILDING PERMIT
Pluambing# 1675 Main Street Date: /Z�
HVAC #
Sprinkler# 30298
FINAL APP VALS Estimated Cost Soo
Building Q/? 63 1 F COMPLETE RED BOXED AREAS Permit Fee $ /S
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit Eng. Insp. Fee $
Appr.for CO. SIGN ON REVERSE SIDE Total Fee $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant S&IeS 'location of Work ICES Lot No.
Applicant's Address__14 95- sr `T,el.# y36 y�Z9
Town Ce�rN- Zip 41 C d 75/ Lic.#
Owner Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit
1/'/JlX 1.L �°�P�9.-� ?�1i✓ �ryc�r-c�. o�.1�
.moo cQ
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO_-1(1—� SP Cert. Area Basement Garage
Approved by Date (Ze2?11fi Use Group instruction Type—
Revised 6/02