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111 WENTWORTH DR
Electric #Plumbing #HVAC#Sprinkler# Bulld m 4[L>D{‘{z/Date: APPLICATION FOR BUILDING PERMIT‘I i0 1&3!' Estimated Cost $$§O§‘W Permit Fe€$Occupancy FeeEng.Insp.Fee TO THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR CTTheunder31gnedherebyappllestod0workaccordingtothefollowrng LocationofWork l ll W€WVW©0QTH 0 £- Applicam‘s Address l ll WEU'bQOQr’H O e Town Owner Architect Owner‘s Address $Q W1 L3:Architect's Address Zip Sq.Ft,New Area:lst Fl.2nd Fl,3rd Fl4 Purpose of this permit vsmori r we or;15y r crwc *3 raw m—u QB“.-‘S 7Q;p ‘L £€>~9QOO r?yam-mo tn tot? $$ $Total Fee (Additional Cost)$ Applicant '390 ID kU l L~$CW $a Lu (mama Zip 0 (307 Q'YbAuio wicgmo LotNol Te;#gamma emeg Lic.# Zip Total New Area City Water 3 Well :l Septic System 3 Sewer 3 Ins:HO S i t.Area Basement GarageApprovedby‘"/Date“)As,i Cll Use Group Construction Type Revised 1108&'c>i ‘i o I 4g?