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TOWN OF BARNSTABLE
BAMSTAM i
9� 0 p BUILDING INSPECTOR
APPLICATION FOR PERMIT TO 0 .. . ............. ....... ........................................................ ..
TYPE OF CONSTRUCTION
, a ............19..
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ., t�.. ..... .......� C ch........... ?.. ... ........CIU-117—m--e-nb ..............
Proposed Use ....... .. ..... . ... ........ ....... . .... ... . .....
ZoningDistrict ................. .....................................................Fire District ........................................................................ .....
Name of Owner ...f1.. �,r:. ....... '...... ........Address ....isf/..... .:.... py+.. '/,,,,,... ✓��.r-
Name of Builder .......�-. ................... .. .
' ..................................Address .................................................................................:..
In t
Nameof Architect .................................................:................Address ....................................................................................
Number of Rooms .Foundation y /6!
............ .......................................... L:....�r. �
Exterior .... ....... .. f�s.....!... 'oofing .....
.. ................
. .... ..... ........
Floors Interior
HeatingS.J-.(dam....... .. .. ......................................Plumbing ........ ........................................................................
Fireplace ...... ...........................................................................Approximate Cost ........
Difinitive Plan Approved by Planning Board ______________________________19________,
Diagram of Lot and Building with Dimensions
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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 ..
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� �a�dyw AJlia1u EL Jr.
DEC ^� 4 ���&
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13338 one story,
� No ................. Permit for ....................................single family dwelling
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� Location we..L..������..------------'''
Centerville
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| Owner ................Wi]]Lial..E�..Dscey�_Jr�_.
� Type of Construction .................frame
...............
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� Plot ............................ Lot ....... ..................... ~
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Permit Granted ..... ..II---lq 70 { _
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Date of Inspection —��.�w��/p������N��.l9 �r��4~
Dote Completed ......................................
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Approved ................................................... lA '
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