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Q U iy Assessor's office(1st.Floor): G r / V ll Assessor's map and lot number l — 0 f THE w t � r pf Board of Health(3rd floor): Sewage Permit number _-.�7 Dsaa9?snLL 2 Engineering Department(3rd floor): ,y Do t �'�' rus House number �+' -1 °o,.�1b39.6\��' Definitive Plan Approved by Planning Board /%�.'r 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only r TOWN OF BARN TO TABLE S BUILDING INSPECTOR APPLICATION FOR PERMIT TO1a��VJ TYPE OF CONSTRUCTION OU 'tom- i de lJ'n V.1 l . 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location l._tz7" I (-O J )o 0- S � CeCUTC,R- Proposed Use Zoning District Fire District C- 0 Ir �U-(3' ,Nt Address y� Name of Owner ` Name of Builder C: •-Y Address Name of Architect Q L, S EA( U (-j- V V&)L. Address CG STC-(uj, Number of Rooms Foundation - Exterior �`- � Roofing Floors Interior (1A S � I Heating - nit- Plumbing A, t` � Fireplace Approximate Cost Z 0 0., �cl Area Diagram of Lot and Building with Dimensions Fee 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 �-Y ✓, Construction Supervisor's License Can 2) ) 1 SHANE, THOMAS A=251-00 251-001-002 No 34291 Permit For 112 Story Single Family Dwelling Location Lot #1 , 204 Conners Rcsad Centerville Owner Thomas Shane Type of Construction Frame Plot Lot Permit Granted April 23 , 19 °1 Date of Inspection 19 i Date Completed 19 �ERMI T COMPLETED ``