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HomeMy WebLinkAbout1720 SOUTH COUNTY ROAD �7o?0 ti _ oFIME Town of Barnstable *Permit# Expires 6 months from issue date snxtvsrnete Regulatory Services Fee ` 3 9cb MASS, . �0� Thomas F.Geiler,Director A'ED f A°r p Building Division Peter F.DiMatteo, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY G ! Not Valid without Red X-Press Imprint Map/parcel Number Q 7b Q 1 Property Address V 0Ao Coo h +q �U Residential Value of Work Owner's Name&Address, eir f'sontractor's Name ' , `b O VA C D Y1CJ Telephone Numb/ecr Z Home Improvement Contractor License#(if applicable) I q c Construction Supervisor's License#(if applicable) 0(o Z r) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [_I have Worker's Compensation Insurance Insurance Company Name 0�c Gz.VI C— CO 0 A m e, r( C Workman's Comp.Policy# W C. 5 S -7 S S S 3 0 Permit Request(check box) Re-roof(stripping old shingles) Too� ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ok ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature g Q:Forms:expmtrg Revised121901