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208 GARDEN CIR
Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 208 Garden Circle Date: HVAC # Sprinkler# �1-� �3 FINAL R Estimated Cost $ - Buildin ' ©9l f'�"� i COMPLETE RED BOXED AREAS Permit Fee $ ancy Fee $ Enginee ' TYPE OR PRINT ONLY Eng.OccuInsp. Fee $ ffi /n Adavit ► SIGN ON REVERSE SIDE / ! Appr. for C o Total Fee $ e) �d TO THE BUILDI G DEPAR MENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant Pe Al Location of Work Lot No. Applicant's Address Tel.# Town Zip Lic.# Owner - Architect Owner's Address S Architect's Address Zip Zip Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Purpo a of this permit S S City Water[] Wello Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group Construction Type Revised 6102 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 which this building and its use is allowed Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 07/28/21 Printed by Middleton, Morgan 10 28 37 INSPECTION: 248 ,_ OQD,,,,Z _GAS_STOVE� W PERMIT: -" STATUS APPLICATION: 200700060 LOC: 208 GARDEN CIRCLE SOUTH WINDSOR PROPERTY ID: 34600208 OWNER: SHAHEEN LOUISE CONTRACTOR: REQUEST BY: PROD DESC: GAS STOVE - ENVIRO WESTPORT SER# 123068 WORK ORDER: INSPECTOR: FLAN RESULT: ,_,PASS REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 04/11/07 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: WITH OWNER OK FOR COFO ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 04/11/07 FLAN PASS BO10 FINAL WITH OWNER OK FOR COFO