HomeMy WebLinkAbout166 NATSISKY FARMS RDElectricPlumbing##l 66 Nat AK IF gAgIQgI FOR BUILDING PERMIT
HVAC#l 4 0 Date.2/19 /l"/Sprinkler#FINAL APPROVALS $"33,§02’
Building $'33
Engineering $Affidavit
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TO THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR CT (Additional C030 $MTheunders1gnedherebyappliest0doworkaccordingtothefollowmg
Apphcant PV‘ouLv.BJ Mm ¢tZe-vua(L\a¢LocationofWork /£b NA r3 bkf rAVm #c/LotNo.Applicants Address I a}W §TAYEMJ 124 Tel#<$éo 35 “\‘(eo
Town $Tv°t¥¢out Am Ms )cT’Zip 06 0 ‘7é Llc#Hic uebmy ‘t
Owner lZAVwI‘t ‘3 oamq LArIVEK Architect NM
Owners Address Mu:NA Is 3k!I'NM Rd Architects Address Mr
Zip ZipSq.Ft.New Area:1st Fl 2nd Fl 3rd Fl.Total New AreaPurposeofthlspermitLsr”it/Lu'N MachJRepAce.Lnsiww cms ask z cswxu Termge,”(we brunt K \c’lm aALL V,”\—\ac:;2$',.734ml wAbLs d demwjICrtyWaterUWellUSepticSystemUSewer3 g%r’%ooi'3?
Basement GarageK7)Date ifCl‘Q”Use GroupII Construction TypeApprovedby
Revised 11 08
COMPLETE RED BOXED AREAS
TYPE OR PRINT ONLY>SIGN ON REVERSE SIDE4
Permit FeeOccupancy FeeEng.Insp.Fee
Total Fee