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Assessor' 1-21— .2 .2 c(
6 r'� map and lot number .....i....................... %TNE
Sewage Permit number ..................? SEPTI YSTEM MUST
...............
DA"STAUL
House number ........................... .......
...................... '7
"ILE
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TOWN ' OF BARNST E
BUILD Gr, I SPECTOR
APPLICATION FOR PERMIT TO ... 1..........
....................................
........... .............
TYPE OF.CONSTRUCTION ..e.v.....10. ........F.F..10-77. ......................
........... . ... ...........................19X3
TO THE INSPECTOR OF BUILDINGS:
The undersign'ed hereby applies for a permit according to the following inform ion:
Location ...),.,9CI"- -7........ 2�.rvvle......
..........< . .......(��
ProposedUse ........ .............I..........................
ZoningDistrict ............... .................................................Fire District ............. ..................................................
Name of Owner . .............. .. ...................................Address /J!:!../' ..............
Nameof Builder . ... .
s ....................... .............................. .....................
Name of Architect .......Address
Numb& of Rooms .............1.1. ................................................Foundation ......... ........ .................
Exterior ................ . ....................................Roofing ........... ............................
Floors ............. .......................................Interior
Heating ................. A��...........................................Plumbing ... ..... .. .. .................
.....el ,
Fireplace .......................... ......... .............................Approximate Cost ....... . ............................ .......
Definitive'Plan Approved by Planning Board - /----- -------------------19- - Area ..
t.(e.. ......
---
Diagram of Lot and Building with Dimensions
Fee .......... ..... ..........
SU B.J C TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .... . . .. ..... . .................. ..........
.......Corittructio pervisor's License
f
S L S TRUST '
I }
27654 1 z Story ,
N ............. Permit for .................................... i
Single Family Dwelling
.•.. j
Location Lot..617,...._.17 Zeno.Cro er... oad s
.;
Centerville:....... . ......... ........... r
Owner ......... . ...Trust................. .... ... ...........
Type of Construction Frame.............
- I r
y* ..................................................................... .......... !
Plot ............r ............. Lot ................................
• Permit Granted ......March..27..... `......19 85
Date,of Inspection
Date Completed ... .....19
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„+•;, TOWN OF BARNSTABLE Permit No. _ _-----__
Building Inspector
.�� Cash —-------
0 9,+0 MAI
OCCUPANCY PERMIT Bond
Issued to 1: Address
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
Board of Health 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 AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
1
9......_.... ......................................................»..............»..._».........
»_.».».....»_...
Building Inspector
E C;)
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WILLIAM
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�-, M.
h•, tORl•ill• FCC
on and
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1 on the of my lcnoi;ale�l�,e� / n I.
ie b�.:;is
1 certify tom—r�--- round
ndde on t�>� Lv i t7 z :`,� 5�'�� r_ Ile-
belief,
a ,3urvey
that as a z'esult O1 that:
on 3 z i S, I find
The st e(s) are located on the ;ite �Ls
shown* . of the
The title lines and lines of occuPation G ,A,A gw i r. K >fL
site are .�a shotinl hereon,,
gone a� a
The site is situate���,��/ o Date:
Community Panel No.
Date'_*Z-67'�
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