HomeMy WebLinkAbout0244 MITCHELL'S WAY
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�OFIM8 Ta Town of Barnstable *Permit#
• yV,P ~0,, Expires 6 monihsfrom issue date
, STAB Regulatory Services Fe S
r�AIED Thomas F.Geiler,Director
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Building Division
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Tom Perry, Building Commissioner X-PRESS PERMIT
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 AUG U 8 2002
Fax: 508-790-6230
EXPRESS PERNHT APPLICATION - RESIN I'I�,i C YSTABLE
Not Valid without Red X-Press Imprint
.g;4 Map/parcel Number
Property Address
❑Residential Value of Work
Owner's Name&Address j; .V.jc)nche.A 4 MakAja
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Contractor's Name Telephone Number
Home Improvement Contractor License#.(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one: ,r, _co
❑��I am a sole proprietor 3
YJ'I'am the Homeowner
❑ I 1 ave Worker's Compensation Insurance
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Insurance Company Name
Workman's Comp.Policy# r; co
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Permit Request(check box)
.ERe-roof(stripping old shingles) All construction debris will be taken to —
❑Re-ragf(not stripping. Going over existing layers of roof)
Re-side
Replacement Windows. U-Value (maximum.44) n ® td03
Other(specify) �pR LE
•Where requireEuancepeWdoesnott compli�withtown department regulation ,,'09st�ec,athservation,etc.
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Signature
Q-Forms:expmtrg
Re;sed121901
FSHE Town of Barnstable *Permit# ✓,�L,-�Ss
y O,� Expires 6monthsfrom issue date
BaxxsTnBM : Regulatory Services
i639.. �e Thomas F.Geiler,Director
Building Division
Tom Perry, Building Commissioner ®p
200 Main Street, Hyannis,MA 02601 X A_P1� SS PERMIT
Office: 508-8624038 AUG 0 8 2002
Fax: 508-790-6230
EXPRESS PERNUT APPLICATION - RESMEKHMEW_YSTABLE
Not Valid without Red X-Press Imprint
e4 Map/parcel Number
Property Address /
❑Residential Value of Work z?ev
Owner's Name&Address
a YQ D6 1 k he_Its W gy j-T n 1_S Qc,_55 c06 c l--
Contractor's Name Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
❑Workman's Compensation Insurance
Check one: ry
❑�I am a sole proprietor
S j
1 am the Homeowner #
❑ I have Worker's Compensation Insuranceco
Insurance Company Name
cr:
F3
Workman's Comp.Policy# co
rn r-
rn
Permit Request(check box)
Lam'/Re-roof(stripping old shingles) All construction debris will be taken to
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows. U-Value (maximum.44)
❑ Other(specify)
*Where required: uance of this peWdoesnott com�vnithtown department regulations,i.e.Historic,Conservation,etc.
Signature
Q:Forms:expmtrg
Revised121901