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208 Old Farm Road (2)
6ectric# APPLICATION FOR BUILDING PERMIT Plum67ing# 208 Old Farm Road Date: 02 Co b IHVAC # 28217 Sprinkl r#v- FINAL P 0 Estimated Cost $ 70 Buildi COMPLETE RED BOXED AREAS Permit Fee Engii TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee TO BUILDING DEPARTMENT,TOWN OF SOUTH WK)SOR,CT Additional Cost) $ 7 Q The undersigned h re6y applies to do work according to the following specifications: Jo6 Location a D M Lot No. Side of Street Zone 1 Applicant Tel# 6 /',z"s 27 Addr ss If-M Lic- L 3 Owner 1^ Address o2©P yb o-y Architect Address Sq.Ft.New Area: lst FL 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: eM 0,6 j e- j3a e,al 5 s PAS City Water YellobSep 'c System Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved 6y Date Use Croup Construction Type Rov'sod 1/97 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 permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in this building and its use is allowed. Signed I hereby apply for a Certificate of O ncy for the d 'bed in this application for the permit. Signed, />, v 1 DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 28217-B 3,700 B10 FINAL 05/19/03 JFF A WITH OWNER B10 FINAL 05/19/03 JFF A CLOSEOUT