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HomeMy WebLinkAbout28Brightman Cir 201700745Electric #APPLICATION FOR BUILDING PERMITPlumbing#HVAC# EngineeringAffidavit TO THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR,CT (Additional Cost)The undersigned hereby applies to do {work according to the following: (TM Q‘W‘L EEKI é)8 mmmma Lurk .Applicant E /LocationofWork tomeApplicant’s Address._u_$M G (E Tel #“T-é,KIM ‘E ALC CG)I $60 7H EH55TownakrZipLic.#“.OE ILOwne-rchitect “‘?I‘\’R Owner's Adress aib‘QULL Architect‘s Address k h‘RtKW‘gm ‘V‘ i ZiSq.Ft.New Area:1st FI.2nd Fi.3rd Fl Total New AreaPurposeofthispermitt &273% tSewerD/Zoa waiss ApprovedIns:HO by P1 \.(Date 1.Ii .i’I Area Use GroupBasement Construction Garage TypeIi Revised 1108 $ Avl 060$i H ASQ EIrPEIAIEATHA3AMK€A LI W ELL L:d a.)O gzkxm“I q bIKE \TFR£ Zp p“I AD LIQG gqQQ®D Qi\‘TO B§§i w“I 'A e i ‘g _ S $z 9g 5w34x‘l’hncm Ctr‘cLe, i7 0o $37.Date:I ‘GI I Estimated Cost $ COMPLETE RED BOXED AREAS TYPE OR PRINT ONLY F SIGN ON REVERSE SIDE 4 Permit Fee $q . Occupancy Fee $i6Eng.Insp.Fee Total Fee $I IZ