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APPLICATION FOR BUILDING PERMIT
14 Abar Lane
Plumbing#
28620 Date:
WAC # No
Sprinkler#
FIN766,P O Estimated Cost $ /77t
Buildi o COMPLETE RED BOXED AREAS Permit Fee
Wn TYPE OR PRINT ONLY Occupancy FeeAffidavitMSIGNONREVERSESIDEctTotalFeeAppr.for CO.
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
1o6 Location l b S Lot No. Side of Street_Zone
Applicant 1y—+ A 404-19 Sir/,LF-53 Tel# So
Address3q S-6-iZf 060 ST 144 Zip ®06c 7 Lich.# <6
Own r1(rg2,Fl1i1,,/ G /' Address
Architect Address
Sq.Ft.New Area: 1st Fl 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories_ Bathr
r
ms Garages
Purpose of this permit: LCJS
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by e Dot i OL Use Group Construction Type
Revised 9/01
i
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
p rmit is asked,and agree that this building is to be located the pro istance from all street lines,side yard lines,and required
distances from all other zones and is located in whic his b ' in n its use i
Signed
I hereby apply for a Certificate o pancy for the work
its
in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28620-B 1,776
B10 FINAL 06/06/02 JFF A
B10 FINAL 06/06/02 JFF A CLOSED OUT.