HomeMy WebLinkAbout2 SHADBUSH LNElectric #APPLICATION FbR BUILDING PERMITPlumbing#HVAC#jDdts v éSprinkler#
Permit Fee m 70 /Building COMPLETE RED BOXED AREAS Occupancy FeeEngineeringTYPEORPRINTONLY
Appr.f0rCO.>SIGN ON REVERSE SIDE 4 Total Fee $?0 w"
To THE BUILDING DEPARTMENT TOWN OE SOUTH WINDSOR CT (Additional Cost)$
Applicants Address /95‘WHVO‘ZJ Q Vwan Of Tel #$w ~7lp(p “367?
Town l/w0t/l Cf zip 9&9QQ Lic.#&Q\3 yVé’oZ
FINAL APPROVALS Estimated Cost
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The underSIgned hereby applies tO do work according to the followmg C {C /3K1Appltcant.-I E Location ofWork Q éhad bd6 h——M—LotNo.
Ins:HO g SP \/Cert.rea Basement GarageDateq»Al i g 1ApprovedbUseGroupé Construction Type”/(p (7 03‘)kéci Revised1108/
Owners Address g §WED5h [\J/l Architect‘s AddrességtA/I’L/wmdéé(Zip 0&07q ZipSq‘Ft.New Area:Tst Fl.2nd FIT 3rd Fl Total New Area
Purpose of this permit V)q‘(I v‘l/
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City Water _l WeH J Septic System 3 Sewer J