HomeMy WebLinkAbout212 Main Stperm“-CloScd ~/Electric #APPLICATION FOR BUILDING PERMITPlumbingHVAC##42;,1 M cur’a SIMHROI 0 Dale:7'/§
Sprinkler#I '4 GO 08‘‘5 Estimated CostFINALAPPROVALSPermitFeeBuildingOccupancyFeeEngineeringEng.Insp.FeeAffidavit
Total Fee $i616‘13?“07)To THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR CT (Additional Cost)$The undeTSIgned hereby applles to do work accordmg to the followmg
Applicant Kdb(’rf/@€A ?P/r(/LocationofWOrk 7 /LotNo
Apphcants Addrese /&‘/5/R4Cusg av?6 W Cy &d /("&Tel #346*QO?’/'7/Q
Town I Zip £éé"77 Lic.#
Owner Roié er Architect K/ait °
Owners Address a )r'a Va ,Archttects Address
ask ///r*/2fx—,>ga (7%-Zip /)49/a ?‘5//Enfon (L4 Zip aégw???
Sq Ft NewArea 15tFl xyx yc ‘1:2nd Fi 3rd F!Total New Area
Approved by Date Use Group Construction Type
Revised 1 1 08
DM/2
fié //ifnm \
r
COMPLETE RED BOXED AREAS
TYPE OR PRINT ONLY>SIGN ON REVERSE SIDE<
Purpose of this permit OA a5 /((rrc/cn%'Fn.<Fir/{Pm geuxrmc‘nfUi
City Water J Well U Septic System 3 Sewer :l Q’Atbtooqig
Ins:HO SP Cert.Area Basement Garage