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HomeMy WebLinkAbout201-212 TWIN CIRw ow/g Electric #APPLICATION FOR BUILDING PERMITPlumbing#HVAC#Q04)PH Um CV,Date lgx C /q Sprinkler#FINA PPR VA S {Jim aol —ma Estlmated Cost $ Building A I ’a COMPLETE RED BOXED AREAS OccupancyPermit Fee Fee $Engineering TYPE OR PRINT ONLY Eng.Insp.FeeAffidavitAppr.forCO >SIGN ON REVERSE SIDE4 $_@(L_Total Fee Rewsed1108§oWoa7Ci9 iTemMITPER SSUTAT: 20 OCNLIATIAPP: OSITEN SSPA //423091 Dtae ELRAVT IMET: OITYRIRP: OETEDCMPL: SETHE ELDFI CONSTIINPE STEULR: 00. SSDHIEL /STALLOOINWDPLY CATERIEW+ OT OWND OOFR SPTRI INALF J CAELMIH OSONZILE 02019090 00. IVEDR CECIRL 201 TWIN SORNDWI SOHUT iknsmuszy ilereva ditespecn by 070125 CIONSPETIN: ID: ORTYPRPE COROATCNTR:SQUETRE BY:SCDE: OJPR OERRD: OKWR OCRNSPETI: SEDEQUETR:ULEDSCHED: SFEE: IDUNPA GEAEMIL: SCOMENTM: OERWN: iddltMone, Mganor idtPern by OCL: $ To THE BUILDING DEPARTMENT,TOWN OE SOUTH WINDSOR,CT (Additional Cost)$The undersigned hereby applies to do work according to the following Applicant fut.)1 Applicants Addr ss TOwn Vtkdy AWWI Location ofWork WIVI UH LotNo Tel# Architect i Architect's Address 2m ndFL Total New Area AEff?/%m:I Mi 4f“ ' é/C" Owner Owner's Address wail Sq Ft New Area 1sIFl mm o .t (MIa“ ¢éL/wy7 CI .at WR*Eff?”I %m:WMmmilwEwmiy7E'm”m /u ’I Clty Water .l VVeH.J Septic System 3 Sewer 3 Ins:HO SP er .Approved by ‘Area Basement GarageDate/’A‘brlg'Use Group Construction Type