804Wayne
OWNER
Severance
nCCOPANCY
C ertificate of Occu ancy:
ADDRESS
804 Rosal Drive
E EGAI. DESCRIPTION
Date Approved: A(
Lot 3, Blk 17, 2nd See. San Lanta, PB 4, pp 3S, 39 & 40 yy� p
EWLDING CONYRACTOR Sub. Reg's. Apply: Yes No
BUILDING RECORD BUILDING:
Final Inspection
1 -20 -75 Permit #12957 n FEES:
Shoemaker Construction -Erect SSE res. Development Fees
($ 18 , 000) ;I. 6
:, � '_:.. ,...z'�� fit, ? .. Streets Paved Unpaved
5-5 -82 Permit: #17020 Street Paving Fee
�?
Frank Williams- Reroof S/F res. '-� -� �{ C � Rs �- UTILITIES:
Water Lines
Meter Set
Sewer Lines
Sewer Tap
Storrs Sewer ENGINEERING / PUB. WORKS:
Drainage
Street Paving
Street Name Signs
Street Lights
Maintenance Bond
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PLUMBING
ELECTRICAL
MECHANICAL
1 -U -78
hermit # 1.0562
2 -1--78 .Permit 4 5919
i 2 Permit # 956 -
CoNf ACTOR
CONTRACTOR
QONTRACTOR
Hawkins
Bros
ga.nford Electric Co.
�
9- lnford Atg o & Air
FIXTURES
FIXTURES
FIXTIURF S
2 Water
Closets
150 amp Service
Installation of Central
Heating & Air
(2200.00)
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