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Assessor's map and lot'-'number ...... f �
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Sewage Perrnit number :........... ........ ........... .
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1 Y r TEM MUST BE TOWN OF '•BAR'�STAB : q,.
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DE AID® TOWN ;
S. - - : UUIL:DIN&! INSPECTOR
-` APPLICATION FOI o PERMIT T.O ...............
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TYPE OF CONSTRUCTION .................4 ...... . 1. .......... .................... .....
................. ..4.......J ........19"77. .
-'TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
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Location �..:......."......."�1�.7�,,�.V.�.l�vl.)�.W...L..IA.��.����.r.)gvlw..�.......1.'!!.1.1Q. :S.!S............................
Proposed Use ....Sliry w .....�` .1114........�� .�. .�.- ..�:e........................
Zoning District ....... .4:................................................:...Fire District clF,..W.T.lEiY'e)/). .....0. .11
Name of
07rName
q� g ,,/�,� nName of Builder 1`d 11)A 1 .......Address .54.1.ye.p...IM......05- g.v. L�..!,.'.l.)gSS',
ofArchitect ......:...... .� ..................................Address ....................................................................................
Number of Rooms .......................ce....:...............:.................Foundation ..........e- 7ta. .4 ..
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Exterior ........�-4 W. ......................................................Roofing .............45-- .RRU..L- ............:...........:......
Floors ...........�.Q®AV.....................................................Interior ..........��.�....4�-�1.1���r............................
Heating g . ... .. .14-,.. •�
Fireplace .............................Z..............................................Approximate Cost ................. ......................................
Definitive Plan iL---------19_Z-c-.. r q. Area ..ZZ Zpc?.lt
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL 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. �L3 y1i a Al a - L
Name )
- _
Furmau, Jack J.
1
No .........w 9657...... Permit for ......RT 14n. ............
single f.andly............. . ...... .
Location '..'Rivervi.ow. ..La.,.................... .... ......... . ..
Centerville
...............................................................................
OwnerJAck.A.—Furman.....................................
...... ..•. .............
Type of Construction .....W.9.9.4.1non...............
...............................................................................
Plot ............................ Lot .........228.....17.4......
Permit Granted ........... Oct 5 .......19 77
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Date of Inspection .7..............19
Date Completed J/7/ .V-y.. ............19
P 44110
PERMIT REFUSED
............................... .............. ....... ...... 19
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571 ............
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App ......... .. ... . .. ...... 19
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`��,�• .e TOWN OF BARNSTABLE Permit No. `' _____
1 ; Building Inspector cash
7OA 1YL • ________-_-_______
OCCUPANCY PERMIT Bond ----_________—_______
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Jack J• Fun-aar, Address Gente'rVll.le.
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
.....................................................9 19...... _ .................:.................. �.. -�...................................._
Building Inspector
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