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°fT"ET°�` TOWN OF BARNSTABLE
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NASL 9 BUILDING INSPECTOR
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APPLICATION FOR PERMIT TO ........v!....'....� .... ...
TYPE OF CONSTRUCTION .... ...... i �-
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ........................................^ .. .N .�"`°�.�.......... ��t�J ..............C:o'�/t'e',// ..:... :..................
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Proposed Use ...........V)..........L�_�.. ..........hJ.....C..................:........................................
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Zoning District \....................................................Fire District ....�^'?.'� - Qgj fz4_' /./-4
Name of Owner .....-:�A!4 V!..s....... ........................................... Address ..........!J.!�. .!`!............1..!.! ..5�......................:.....:.
Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms .................14?...............................................Foundation ......���.� �............r.:,N.C. ..............
' Exterior �•1.�,� S�` �G if ..........Roofing A ` (( .
Floors ..................:....................................................................Interior ...........lby. L✓� l
r Heating .......... .5......... �... �. .............................Plumbin ....... l . .....��L.......��� .........�...................
Fireplace ........./ .............................................. . ...................Approximate Cost .... U............................................
Definitive Plan Approved by Planning Board ________________________________19--------.
Diagram of Lot and Building with Dimensions
SUBJECT TO APPROVA 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 . 6
............... ...............................................
Smith, James K.
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15154 one story
No ................. Permit for .................................... lsin �
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Centerville
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Owner .____Jao*aa..D._[�cith____..___
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Type ofConstruction ...................������---_
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Plot ---------. Lot ---���-----.
Jnzaa 22 �2
Permit Granted -------------]9 ' -
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Dofa of Inspection 19Date Completed
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PERMIT REFUSED
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Approved ................................................. lQ ^ '
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