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HomeMy WebLinkAbout12 marilyn rdElectric #Plumbing #HVAC#14000450 Date:352$I'Sprinkler# Building COMPLETE RED BOXED AREAS $Engineering TYPE OF PRINT ONLY Occupancy Fee $Affidavit Eng.Insp.Fee Appr.f0rCO.>SIGN ON REVERSE SIDE 4 To THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost)$¢WLTheundersignedherebyappliest0doworkaccordingtothefollowing: ApplicantLO I'Elxhg @Atuld£’r$L((C/LocationofWorkb’z [mfiikél l’l KG LOtNoIApplicant’s Address ql I CORVQKSQ §+Te.#Sign ye?WOOTownSm%)(d 3K3 (\RS Zip ‘J ‘"Lic.# 1' l0.upQJLOD’X Ownerl It r THIN E)'&I"I!Q I’)Architect Owner’s Addresslgg,[Hal/Li Uvl l‘l Rd ‘Architect’s Address FINAL APPROVALS Estimated CostPermitFee '5‘0. Total Fee $G ‘B Sq.Ft.New Area:1st Fl.2nd El.3rd Fl.Total New Area f/I t .tJEIriéO/J Zip Zip Purpose of this permit lilVi’ClHfd’lL/Q QT’CA {17/K a?”QEIJ/‘vt A5)L-JN/h &DJ{\+JZf-’T}#.b’Q’l‘ivis’Qn Kt‘R’WxQH w til/UFEBI {36.04. City Water Cl Well U Septic System D Sewer U ’Z/owi we?! Ins:HO ert.Area Basement GarageApprovedby7Dateat,>5 )g;Use Group Construction Type Revised 1108 APPLICATION FOR BUILDING PERMIT12MarilynRoa $ S i C