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HomeMy WebLinkAbout20 PODUNK CIREm‘#APPLICATION FOR BUILDING PERMITPlumbing# 3h w S I FINALAPPROWSrinkler#/woe 'i2' $W2 TN-.Au. COMPLETE RED BoxED AREAS Affida‘d‘>SIGN ON REVERSE SIDE ‘ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CTTheundersignedherebyappliestodoworkaccordingtothefollowing: HVAC #020 POCIU n/L Grala Date:'0 Ml”? Building wEngmeenng TYPE OR PRINT ONLY Appr.for CO. Estimated CostPermitFeeOccupancyFeeEng.Insp.Fee Total Fee $?§S‘ gtf’gl Zé";$ Applicant ‘9 EW T‘lomc,QmLAEXY‘C‘Location ofWork Q43 Tbé Wk Q\f‘Applicant’s Address &§O l $exx‘0vrA—v BK Tel.#\.o\0 37W $309TownQWKf\V Zip ‘PA \Qmaicn Dko'arl 84oOwnerNRCXMTCJ,\ic’WcL QTKY‘EhRArChitectOwner’s Address ©;o I?DE \as’\\L/Q \f Architect‘s Address$UAAA V\Y\§‘f>Cr L+-ZipDb D’NSq.Ft.New Area:1st Fl.2nd Fl.3rd Fl.Purpose ofthls permit ilu’carQ ¢n*’\m haw 9\\OX ”S C:b Pr l¢Rr&%{c\‘urc~\$\\’«L\e$‘ bP<F E-e (N.H‘M w \)r\§<z/\My“M‘V"City WaterD WellD Septic SystemD SewerD (Additional Cost) Lot No. ZipTotalNewArea 06g § e476 io OH 9'L Ins:HO SP_Area Basement GarageApprovedby\"Date [g -gr lb Use Group Construction Type’ Revised 6/02 C2 iTme RMITPE SSTATU:CONIATIAPPL:OSTENI CURCHITETAR GAF //2300l5 DtaeSSPA SHEET CONSETIINP FIELD 2125. SSQAREU. SLTREU:ORITYPRI: DCOMPLETE: TRAVEL TIME: NALFI 00. 40002073 00. OSCHLANI OERKMAT OMEH. OOERFR NTIREE SBW—CCIRLE 2O ODUNKP OLD ERP OSCLE OTU OT OSOSKICHRTW CSTEDINPE ADAM BY OOFR LFINA SOWINDR SOUTH 88989 OSCININPET: ORTYPRPE ID: COCOTRATRN: QSEUETR YB:CSDE: OPRJ OWRK ORDER: SCORINPET:QSEDREUET: SCULEDHED: SEFE: NPAIDU GMILEAE: SCONTMME: OWNER: iddltMeon, by idPtner Mnorga OCL: “1 $