HomeMy WebLinkAbout17 SHAGBARK RDElectric #APPLICATION FOR BUILDING PERMITF/luW‘mg#HVAC#47 Shagbary:9d ~Dale:5‘9 “I
Spr1nkler#Hwgwg Estimated COStFINALAPPROVALSPermitFeeBuildingCOMPLETEREDBOXEDAREASOccupancyFeeEngineeringTYPEORPRINTONLYEng.Insp.Fee
Appr.f0rCO F SIGN ON REVERSE SIDE 4Amdavit
Total Fee $é i\Qc5:)»
(Additional Cost)$TO THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR CTTheunder31gnedherebyappliestodoworkaccordingtothefollowrng
Applicant KI I '\r'a)L LocationofWork \q 5hQcIbCAV‘K Rd'LotNo
Applicant’s Address (cl NICAII'W 5+;$w+€L—Tel #$laO {:3 I52)-'"IIoIA
Town Aatm’v CTT‘Zip Oke‘aLIK Lic.#WC.Obierlctq
Owner QC“!(S éoaaa Architect
Garage
Construction Type
Area Basement
ate fl 4‘l 3a Use Group
Ins:HO
Approved by
Revised 1108
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§QL*V\W\‘\A§®(~Q.:T Zip OCQ‘WW Zip
Sq.Ft.New Area.1st Fl.2nd Fl.3rd Fl.Total New Area
Purpose of this permit
City Water 3 Well :1 Septic System 3 Sewer 3