HomeMy WebLinkAbout190 abbe rd- 201700473/Electric #
AffidavitAppr.forCO
To THE BUILDING DEPARTMENT TOWN OF SOUTH WINDSOR CT (Additional Cost)The under31gned hereby apphes to do work accordlng to the followmg
Applicant bx'(3?\Wg\iot‘k‘r‘a‘»Location ofWork \q b HbbLIJQ>LotNo.
Applicant’s Address g Tel #30%‘7&3‘LW
Town @‘CCJADVN :CO\\$Cfr Zip 0 \c ”I V5 Lic.#D QEOV?
Owner SNOW A—gmri vY‘T'L Architect
Owner’s Address \Cl U W,%Architect‘s Address
39%\J’w nEgv ,/‘Zip DBOTIW Zip
Sq Ft NewArea‘1stFi 2nd Fi.3rd Fi.Total New Area
Purpose of this permit QLmcue,A”P£v\_C¢,_e.\0 \AJRKéDWS
N o §<vvavw~\Wr—Q>\0 ~'5¢;C:\~=L \\$c\'s D‘Q ectkro£§
City Water a Well a Septic System 3 Sewer D 9cm odi73
Ins:HO I rt.Area Basement GarageApprovedbyw‘:Date C‘Ci »i7 Use Group Construction Type
Revised 1108
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APPLICATION
iq O Woba QaadVIb09.07
FOR BUILDING PERMIT
Date:g i LI i H
Estimated Cost $Q
COMPLETE RED BOXED AREAS
TYPE OR PRINT ONLY>SIGN ON REVERSE SIDE<
Permit Fee $I0§Occupancy Fee $Eng.Insp.Fee'$
Total Fee $10 §