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} TNEro�y TOWN OF BARNSTABLE
EARIST1LHLL i
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6 9 am BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO
TYPEOF CONSTRUCTION ............ .•.................. ............................................:..................................
. ...:: .P ...............19
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereb applies for a permit according to the fall wing information:
YY ��
�77
Location ....�-/.................. ... ................. ....�1.... r��. .......... .::!�'.....!1..
ProposedUse ...� ?' ✓ ...........................................................................................!-..:.:�:��►. `"�
ZoningDistrict ................................. ..................................Fire District ..... ............ .. ........................
Name of Owner-- ............ .Address �/ ' ...... -! ...
,. ...... .z .,w ........................
Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms ................. ............................................Foundation ... ?! ....................................
Exterior ..............................,.�..................................................Roofing ........... T` "••..... ...................:..............................
Floors .Interior �l,►°'+�-� �•�'
Heating.................... ...�..... .....................................Plumbing ......././ ...........................................................
Fireplace ............. --""i�+,.+.` a+.�F i�6 �.........................A roximate Cost ........� .. ���. ..............................
�.......o..... 1 PP
Definitive Plan Approved by Planning Board ---------------_-__--_--------19-_------.
Diagram of Lot and Building with Dimensions / s'
SUBJECT TO APPROVAL OF BOARD OF HEALTH /.
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ... ....................................................................
,oxaZL, -Alan
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I5027 one story ^
No ................. Permit for ....................................
single family' dwelling
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ql�xckalcin Path
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Centerville
.............................
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Alan Small
C�vnar ------__.___________.__.
frame
Type of Construction .......................................... .
,
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Plot ............................ Lot ................................ �
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�aor � �� '
Permit Granted ---.�----_----]A .
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Date of Inspection ------------lQ
Date /
Completed 19
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PERMIT REFUSED
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Approved ................................................. 19
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