HomeMy WebLinkAbout141 WOODLAND DRELDM \pwQ 3\
Em APPLICATION FOR BUILDING PERMITPlumbing#HVAC#Date "f Q:’CD
Sprinkler#I (ion 9a?”Estimated Cost
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Building COMPLETE RED BOXED AREASEngineeringTYPEORPRINTONLY OccupancyEng.Insp.FeeFee
Appr.f0rCO FSIGN ON REVERSE SIDE4 TotalFee $9Q ,Affidavit
TO THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR CT (Additional COSt)$Q‘jk
The undersxgned hereby applles to do work according to the followmg
Apphcant g 14 [ZmM/I pJe/k’mlé /r"P LocationofWork ly/N9w{/Ai~d L)/Z LotNo
ApphcantsAddress 9'1 Folv\/4—?Te[#’éo 93"”14 q
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Owner 8Q€Wh k&é)a$kl I Architect
OwnersAddress /q/LJwJAA/(i 0/2,Architect's Address
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Sq.Ft.New Area:ist Fi.2nd Fl 3rd Fl.Totai New Area
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Purpose of this permrt
/City Water 3 WeH j SeptIJc System 3 Sewer J Qéi 0004571Ins:
Approved
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Date y/Lg’z‘Area
Use GroupW
Basement
Construction
Garage
Type/N Revised 1108