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.ElectricPlumbing##21 Lakewood (Duck TIONfORCovp,BUILDING PERMIT
14000394 Date:1"
—-/HVAC#Sprink16r#FINAL APPROVALS Estimated Cost 7 F
Permit Fee __"LBuildingEngineeringOccupancyFeeAffidavitEng.Insp.Fee
Appr.fOrCO Total Fee
To THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR CT (Additional Cost)The underfigned hereby applies to do ivork according to the following:L AKLfWC‘OOApplicant'L ationofWork 9-,I DVC/<C§yL LOINOApplicant‘s Address é é/a (K Tel It 6WT‘?33~é ?2)—Town Edi/f/M/Zip Lici#0 7 i
Owner Kg/A/‘pa /Q i‘a Architect
Owner’s LA‘ddrOg g/DUC)\/(EU/K Architect's Address
Zip ZipSq.Ft.New Area:ist Fi.11 \2 d Fi,3rd Fi Totai New AreaPutoseofthisermitQ¢iiktlw £VM¢V£<Z;}/&/€é‘ff /Ze -—;4 wax/tax(1/.u47 —€‘(getaway 6a‘J /(ma r”gm 'F—
/City Water 3 Well U Septic System 3 Sewer :J 429i Hi a “:74
Approved
Ins:HO
by KSP V Cert.
Date X7w Area
Use GroupM
Basement
Construction
Garage
Type
\
RevOeditOB
20:
iTme
PERMIT SSTATU:COAPPLIATIN:OSNITE
PASS
//042023 Dtae
TIME:
TRAVEL
OPRIRITY:
COMPLETED:
5
OF
CIE
SREFLAH
CHE
FT.
AND
WATER,
SREULT:
SCOINPETIN
SHEET
FIELD
00.
FINAL
PALAIA
KELLY
A
OREMVE
SHINGLES.
00.
21
OOLAKEWD
SOUTH
WINDSOR OFR
OROF
FINAL
INSCPETED
C.
BY
ADAM
idPtrne
iddlMteon,
by
Morgan
69630
INSPECOTIN:
5l90002l
OPRPERTY
ID:
OPRJ
SCDE:
OWRK
ORDER:
SCOINPETR:QSREUETED:
SCHEDULED:
SFEE:
UNPAID
GMILEAE:
COSMMENT:OCNTRCOATR:QSREUET
BY:
OCL:OWNER:
$
$
g
COMPLETE RED BOXED AREAS
TYPE OR PRINT ONLYVSIGNONREVERSE SIDE<