HomeMy WebLinkAbout1760 MAIN STElectric #Plumbing rHVAC#Sprinkler#FINAL APPBulldlngEngineeringAfndavitAppr.for CO.
TO THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR CT (Additional COSt)$"%’ZC?3L}The unders1gned hereby applles to do work according to the followmg
Applicant CoNG’fMn/r ’é—‘ZMLM N535 LocationofWork [’7 60 M/fif/l/Jf LotNo.
Applicant’s Address /7 4~[7 Tel #9255/'*Légg C/
Town 50/4/N/c/5ZW t T”Zip a@?2-(€51?L}Lic.#
Owner Architect
Owner’s Address.§’/4M L:Architect’s Address
Zip Zip
Sq.Ft.NewArea:1st Fl.§VCQ 2nd FL 3rd Fl Total NewArea
Purpose of this permit /?5 d5)bm [(fOOA/PC P)M O /L C LTX L9A/l (WK ”/1 WO f
1 7 6 0 Maln PgJICéATION FOR BUILDING PERMIT
PER:PA In 7e 1 2 0 0 O O 4 3 5 Date.
Estimated Cost $5/c7 C 0 0 (>6)Permit Fee $’\Occupancy Fee $Eng.Insp.Fee $
Total Fee $Q4 o
City Water D Weii U Septic System [J Sewer U 2 a)t ‘2 0 G W51
Ins Ho x/SP Cert Area Basement GarageApprovedbyK/———Date (7 -ZC'V/Z/Use Group‘mConstruction Type*"__
Revised 1108
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