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0032 QUAKER ROAD
Assessor's map and lot number !. �... ........................ SEPTIC SYSTEM MUST .BE . INSTALLED IN COMPLIANCE.- S,ewage Permit number ....... . . WI'M ARTICLE 11 STATE d SANITARY CODE AND TOWN; I b�Qy�F.INE r��♦�1,'i TOWN V; i',.A TI S IT`I S T A B L E SS 3 i 133ARISTA13LE, 9 039.n e BUILDING INSPECTOR � nY a' i APPLICATION FOR PERMIT TO .. ...........................` —'— ...........(!` .... C(. ................. TYPE OF CONSTRUCTION ......./—..'.J � t(24. ................................... EA.1............I/...............1o..3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followin information: Location .... .. ProposedUse .t 1.c.........�� .....`: . ... . .CJQ...!..!..n.5{.................................................I......................... Zoning District ......... ..... ...............................................Fire District N �e:of Owner �'...�?.-CZ . . .. ©n S. Address ............................. ..... ...T........... aii {................................ Nameof Builder .... ...� ! ..L:..........................................Address .................................................................................... Nameof Architect ...... ..ex. -�.E. .......................................Address ..........................................................,......................... Number of Rooms ..................................................Foundation �o' n c ............. .............................................................................. tom; �- .-A s. ?Roofing �, Exterior .............�:-:............................................................Roofin .....��,C1.:..........�1..`(.��....................................... Floors .. 'E'........ .Interior 1�' ©�1e' �� .. {. ....................................... ............................................................................... Heating C1-1,-,-5 �. ` r Plumbing ................................................ Fireplace ....i..-... .l�i�.1{,1C:............................................Approximate Cost .......1....� R.................................. Definitive Plan Approved by Planning Board -------------------_-----------19________, AreaP... ... . ...t,I ..�... Diagram of Lot and Building with Dimensions Fee ............. SUBJECT TO APPROVAL OF BOARD OF HEALTH � G 34 r Q® QA! •� S`I��Ic 4 4a 3 I hereby agree to conform to all the Rules and Regulations of t wn of Barnstable regarding the above construction. per 'e Name .. .. .......... ........... Surrey Construction 6zi6 _ 9 # /• r �G0 A S build, ena_.stony No ............:...-. Permit for .................................... 6?4' .d'�?�1 ................ Locatio ......... .................Ro ..... :...................... li`► E T/4L�I�� �I@� .......................: i ................................. Owner surrey Construction 3 , 1 Type of Construction ................f......rame.................... i _ > z dPooF z��• o , ................................................................................ Plot ............................ Lot ........ ..# 1............... Permit Granted ..........FAY..11................19 73 i Date of Inspection ............... ......... ..........19 Date Completed ... 19 PERMIT REFUSED t i t ...................... 19 tAy1 ............................................................................... t• ................................................................................ y ................................................................. } 1 Approved ` .................... ......................................................... f i