HomeMy WebLinkAbout1001 arthur dr 201700736Electric #
Total Fee $
(Additional Cost)$it i 0117TOTHEBUILDINGDEPARTMENTTOWNOFSOUTHWINDSORCTTheundersignedherebyappl1estodoworkaccordlngtothefollowmg
Applicant Location ofWork Lot No
Tel #(‘FDO W7~7l72
Llc.#0é5‘955g
U.)CT Zip 0,607‘9
Sq.Ft.New Area:1st Fl.2nd FL 3rd Fl.
Purpose of this permit mSMli (é)(EPIQCQMW wlMOCDS
Zip
Total New Area
Revised 1108
APPLICATION FOR BUILDING PERMITPlumbing#Dr?HVAC#(00/HfQaw’Dr?Va Date.iSprinkler#1 700 27y Estimated Cost $H’FINAL APPROVALS 5??Permit Fee $__'&i_Building COMPLETE RED BOXED AREAS Occupancy Fee $EngineeringAffidavitforCO.
TYPE OR PRINT ONLY
>SIGN ON REVERSE SIDE 4
Eng.Insp.Fee $
Applicant s Address
Town ungom R2:Zip O2365
Owner Milda.Rlqqs Architect
Owner’s Address lQ l AP‘WNK‘R‘Architect’s Address
W l 02Sf
City Water a Well D Septic System a Sewer U Zel’zoo73e
Ins:HO SP I er TN Area Basement GarageApprovedby'“‘;'Datei.‘l4 Q Use Group Construction Type