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APPLICATION FOR BUILDING PERMITPlumbing#19 Lakewood (Duck Cove)r HVAC#1AnnnQav Date:~5 ‘x '
Sprinkler#Estimated Cost $-FINAL APPROVALS Permit Fee /uilding COMPLETE RED BOXED AREASEngineering
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Affidavit TYPE OR PRINT ONLY Eng.Insp.FeeFSIGNONREVERSESIDE‘Appr.f0rCO $Total Fee (cwh.To THE BUILDING DEPARTMENT,TOWN OE SOUTH WINDSOR,CT (Additional Cost)The undersigned hereby applies to do work according to the following:
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