HomeMy WebLinkAbout26 Sea Pave RdBum I?4w
"EE‘C‘EIC #APPLICATION FOR BUILDING PERMITPlumbingHVAC##g2 (g 5m PM 26x I.Date:Z~-I ’70 G6 Z S’Sprinkler#Estimated CostFINALAPPROVALSPermitFeeBuildingCOMPLETEREDBOXEDAREASOccupancyFeeEngineeringTYPEORPRINTONLYEng.Insp.FeeAffidavitAppr.forCO >SIGN ON REVERSE SIDE 4
TO THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR CT (Additional Cost)
The undeTSIgned hereby applles tO dO work according to the follow1ng
Total Fee $3w
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ApphcantMK COI’Ifl’M LocationofWork lb LotNo.
Apphcant s Address QIMM Lane/Tel #
Town gou’Hq W-Vté_$5r Zip (no LEI/1v;osqswgf
Owner OM OQF’I Architect
Owner‘s Address @ §PQ Ear/é.ad.Architect’s Address
Zip Zip
Sqi Ft.New Area:1st FL 2nd FI.3rd FIT Total New Area
Purpose of this permit "ch‘r L a a a 1‘<u/‘I'r-:EnS‘Tql/ALMA.5WWI¢<§'J
City Water 3 Well 3 Septic System 3 Sewer 3
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Ins:HO SP Area 7,,.,7 7 Basement a _Garage
Approved by ”P Date tL'I”17 Use Group Construction TypeI Revised 1108