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TOWN OF BARNSTABLE
33A"ST"LE.
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163
a MAX BUILDING INSPECTOR
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APPLICATION FOR, PERMIT T ....... .. .......kc...... ...............
TYPE OF CONSTRUCTION .....
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit accordicigi to the following information:
Location .4�...�Z........ ........ ....................
ProposedUse t . ........ ............ ....7...... ...................................................................................................................
ZoningDistrict ........................................................Fire District ..............................................................................
Name of Owner OJX&P'A��... ......n7-.-"4A.. ...............Address ....J-7 ....Ad-..............................................................41
Nameof Builder ....................................................................Address .....................................................................................
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Nameof Architect ..................................................................Address ....................................................................................
Numberof Rooms ..................................................................Foundation ..... .. ... ... ..... .......... ...................................
Exterior .............................................Roofing ............ .. .......... ......
. ..........
Floors - ...................................................................Interior ..... .....
...................
Heating H-tAj. ...... ....
............................................................Plumbing ......
Fireplace ...../..........................................................................Approximate Coit ..............
/.. ...........................................
Difinitive Plan Approved by Planning Board --------------------------------19---------
100
Diagram of Lot and Building with Dimensions
THE PROPOSEQ METHOD Or PROVID
SANITARY WATER SUPPLY!, S'EWAGE DISPOSAL-
AND DRAINAGE I 'H REBY APPROV"D
14> �17 71
TOWN' OF ARNSTABL-E,
BOARD -0 F H EAh.,-R*,4
A LICENSED INSTA-LER MUST OBTAIN SEWAGE"
PERMIT. AND INSTA-L SYSTEM,
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I hereby agree to conform to all the Rules and Regulations of the own of Barnstable regarding the above
construction
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Name
Dacey, William E.
DEC 311971 JAM +3vR,�c�
1 26 No ....39........ Permit for .....�one story
,`�u...13..
single family dwells rg
Location-...`...notty Pine Lane
Centerville
.................................. .........................................
Owner William E. Dacey,Jr.
..................................................................
Type of Construction frame
................................................................................ ,
Plot ............................ Lot ...........#33..............
Jun ... 7
e 1
Permit Granted ......... .... ...................19 f
Date of Inspection ....................................19
Date Completed ......�........ .. . ./19
/ PERMIT REFUSED
................................................................ 19 i
...............................................................................
................................................................................ 4
............................................................................... f
.............................................................I................. �?
Approved ................................................ 19
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