HomeMy WebLinkAbout17 SALLY DRElectric #Plumbing #HVAC#Sprinkler#FINAL APPROVALSBuildingEngineeringAfndavitAppr.forCO
APPLICATION FOR BUILDING PERMIT
Date:
906%?W$Estimated CostPermitFeeOccupancyFee
k4 KDri we,
17 0 0L?§l
Total Fee
(Additional Cost)TO THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR CTTheundemgnedherebyappllestodoworkaccordingt0thefollowmg
ApplicantZ l/
Applicant’s Address
Town .
$$$Eng.Insp.Fee
$
$Lug“
g AH
COMPLETE RED BOXED AREAS
TYPE OR PRINT ONLY>SIGN ON REVERSE SIDE<
w¥¢~/C/r "P12170
Sq.Ft.New Area:ist Fl
Purpose of t is permit'1
V i ,)/4
Zip
2nd Fl
LotNo
Tel #K50 d/7/3/042
Lic #0
Location ofWork
Zip 060/37
Architect s Address
Zip
Total New Ar a//x!a»
y}
3rd Fl
é
Owner‘gR KAN/AA/UCNKA'IA'KK/5HNA'A/Chitect
O wners Address /7 §ALLK Dr
2i 1m i >440mwM'WMW
$
0
VI
”Pd 575??0 O’HW/w///57$ow//y Water _l Well :l Septic System 3 Sewer 3 jail 7O for/Jig
Ins:HO SP t.Area Basement GarageApprovedbyDateweig-11/i Use Group Construction Type