HomeMy WebLinkAbout0124 MONOMOY CIRCLE X
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Assessor's map and lot number/4
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SEMC SYSTEM MU,,,;T BE
INSTALLED IN COA?LIANCE
WITH V-TI E"..; : If S eATE
Sewage Permit number :............... /...................,............
'ITARY CODE AND TOWN
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BAWSTADLE,
"6 9 BUILDING INSPECTOR
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APPLICATIONFOR PERMIT TO .... .. ................................................................................................................
.......... . .TYPE OF CONSTRUCTION ....... .. a� .��... �°"�-:s+ .. .. ..ram........................... ............ ..............
... ............ .............19.
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies'for a permit according to the following informatio
Location ....... ..`�!� ....... '"' "' ... .. .... .. ....... ...........................
ProposedUse .... ......................... ............................... .............................................................................
Zoning District .................... .... ... . ,.......... Fire District ....... . ...... .. ... ...
............................
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Name of Owner ..............Address ........ . ........ .....................
Nameof Builder ....................................................................Address ....................................................................................
Nameof Architect ..................................................................Address ................^...............................................................
Number of Rooms y............:A....................................Foundation .......
Exterior .. ... ... ............ .: ...... .....................................Roofing ....... . . ... ... . ... .. . ............ ............................
Floors ....... . .......:...........................................................Interior .... ..........
/�t G�P
Heating ,......./.....................................................................Plumbing ........... .......... :... ............ ..............................
Fireplace% . . .... .............. Approximate Cost ........... ...: . <,........:.......................:...
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Definitive Plan Approved by Plan i Board ________________________________19________ , Area ...........................................
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Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin the above
construction.
Nam ............. ....................................
Small, Alan
`4LI No 16869.. Permit for one....., st. . .........
........... single„family dwell ??g..................
Location� .MonomgY...0 xG�,�.........................
....................... ®ntex'4aQ................................
Owner ,Alan... ? ,.
Type of Construction (ramie..................... '
................................................................................
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Plot ...: #33
........................ Lot ................................
4
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Permit Granted ....Feb ?'x 1.............19 74
Date of Inspection .���.-.7 ... ✓� � i
Date Completed � 7 L�............19► , ,
PERMIT AEFUSED
................................................................ 19
...............................................................................
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Approved ................................................ 19 r
...............................................................................
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