HomeMy WebLinkAbout0139 DONEGAL CIRCLE.o .. a .. _ .. ' � •. '• � -
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• 9� p 39 BUILDING INSPECTOR
APPLICATION FOR PERMIT TO
........... .........
TYPE OF CONSTRUCTION ..1tj2Ajzeg4.
........19........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby aapplies for a permit according to the following information:
Location ......l�U. ...��1..... . ...............
Proposed Use . ..
Zoning District ........................................................................Fire District /� ... ..... ... .
Name of Owner .4!k/. . . a.'A�e..z.... ..:.....Address .� .�N..SN.:..wg'cell...�l�!........
Nameof Builder ....................................................................Address ........................................................ . . .. .................
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Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ...... ............ .........Foundation o
Exterior ...i.. .G vvvl`..... �'!_0 �P..Roofing ..... � �'. ............................................
Floors .. ore
.............. /...................................................................Interior ..., ....� �!��r .................................
Heating ...a..14S.........1.-.. ./.q....................................Plumbing ...../..........................................................................
Fireplace .....t...........................................................................Approximate Cost ..../. .,.L`.Q.®............................................
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Difinitive Plan Approved by Planning Board ________________________________19________. O / � •s�
G Diagram of Lot and Building with Dimensions _�oOR
Ropo-1-M VI INC,
—THE Pr-
SANITARY WATER SUPPLY, SEWAGE WSPOSAL
AND DRAINAGE IS HEREBY AMF:'CVE
TOWN OF BAR 4STABLE,
BOARD OF HE LTH
SED INSTALLER MUST OBTA N SEWAGE
A LICE
O PE,RMTI, AND IRSTALL SYSI�M� s3
130.
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I hereby agree to conform to all the Rules and Regulations of the Town of B rnstable regarding the above
construction.
Name ... ...... ... .../1..................................... .............
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No - .- Permit for --..pt!�.----' |
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Locotion!c4l.. .. .......................... ,
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. Owner --- .&.. x..Jz.___..
Type of Construction ..........�raJ(V--._---- '
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Plot ............................ Lot ...........#16.............. '
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Permit Granted ---.. .II.]� �O '
Dote of Inspection
� Dote Completed ...................................... '
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� PERMIT REFUSED
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................................ 19 `
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Approved ................................................ lA
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