HomeMy WebLinkAbout113 beelzebub rd - 201700289Electric #
TO THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR CTTheunders1gnedherebyapphestodoworkaccordlngtothefollowmg
AppIicantM“N‘E WIMDuJS LocationofWork H3 8%zebub Rd
Applicant’s Address Zé Albl‘Of)QAuncolnR4
Owner RICW Hamt Han
OwnersAddress l$&aaizebub w
Town
LotNo.
Tel #(teatJtewm’iz
Zip 02%5 Lic.#063‘5
Architect
Architect's Addresssect-m mindset cr Zip 0657+Zip
Sq.Ft.New Area:1st FI.2nd Fl.3rd Flo Total New Area
Purpose of this permit '
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City Water U Well a Septic System U Sewer D 02(3/7oa2gq
Basement
Use Group
Ins:HO
Approved by
S Area
Date5‘-‘=&-l '1
J i
Garage
Construction Type
APPLICATION FOR BUILDING PERMIT
(Addltional Cost)$
Revised 1108
Plumbing #QMAHVAC#H3 $6d2 obuJo Date:'7
Sprinkler#t mm u Estimated CostFINALAPPROVALSPermitFeeBuildingCOMPLETEREDBOXEDAREASOccupancyFeeEngineeringAffidavitAppr.forCO.
TYPE OR PRINT ONLY
F SIGN ON REVERSE SIDE 4
Eng.Insp.Fee
Total Fee