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HomeMy WebLinkAbout1076 Main StElectric #Plumbing #HVAC# P£1:ICA'£ION FOR BUILDING PERMIT aeI 3 31 P1076Maln14000145 (Additional Cost)$_=£L_i;7_g¢TO THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR CTTheunder31gnedherebyappllestodoworkaccordmgtothefollowmg Applicant Applicant‘s Address Zip c imS‘ Architect Architect’s Address (00 Maod‘onig Town ‘Vv \brcdqwv‘ Owner Mara reg“bubnml Owner’s Address lop“?Mail/3 S’T . l~\f LocationofWork LC‘7G Main 9".QA,LotNo. Tel #Ll :$-‘Smy-oi o3 Lic.#H a c..C)C:a‘lcl‘6 Ins:HO Approved by Basement Use Group sk Areaw.i Date'2~g;lAf Garage Construction Type Revised 1 1 O8 / ] Sprinkler#FINAL APPROVALSBuildingEngineeringAffidavit COMPLETE RED BOXED AREAS TYPE OR PRINT ONLY Estimated CostPermitFeeOccupancyFeeEng.Insp.Fee $i6¢GOG c" $/Z>;W a $$ Appr.f0rCO.>SIGN ON REVERSE SIDE 4 Total Fee $MW?00 Zip Zip Sq.Ft.New Area:ist Fi.2nd Fl.3rd Fl.Total NewArea Purpose of this permit ¢m0v£T rcplcice.,§i Lag w;AéomS 'i’rot/0 ' City Water D Weli D Septic System a Sewer U\Qd/Lid 030 7