HomeMy WebLinkAbout0034 SEVENTH AVENUE (HYANNIS) s �. ��
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QFt►+e r 1 own of Barnstable *Permit# fo
Expires 6 f 1.0nihs from issue dare
a�xtvsrAp,� = Regulatory Services Fee 00
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�EON10'�� Building Division yy
Elbert C Ulshoeffer,Jr. Building Commission +�
367 Main Street, Hyannis,MA 02601w �AQ5°
Office: 508-862-4038 APR �T
Fax: 508-790-6230 �-�� 4 20��
EXPRESS PERNHT APPLICATION Nor
Not Valid without Red X-Press Imprint AISTA
/V
Map/parcel Number V
Property Address
ti esidential OR Commercial Value of Work
Owner's Name&Address
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Contractor's Name,ICE? S2 f�1 Telephone ep Number__
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable)
G/ orkman's Compensation Insurance
Check one:
I am a sole proprietor
I am the Homeowner
have Worker's Compensation Insurance
Insurance Company Name 7'. �2
Workman's Comp. Policy#
v
Permit Request(check box)
Z-fe-roof(stripping old shingles) •.
Re-roof(not stripping. Going over existing layers of roof)
Re-side
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.Consen-ation.etc.
Signature ,
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