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1'�Assessor's offioe.-Ost floor):`, ,
SEPTIC SlllittEM MU�'O�T11f TOE
Assessor's map and lot number7 INSTALLED-IN COMM
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Board of Health (3rd floor):'
Sewage Permit number W M�... ..1< WITH TWLE AUgTODLE.
Engineering Department (3rd,floor): �� toob3
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House number �?..._..... ... : :wtMfa` YPY°
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APPLICATIONS PROCESSED'630._9:30 A.M. -and` 1:00-2:00=P.M.'only ,
. _ . TOWN 'OF BARNSTABLE
B�UILD [NG INSPECTOR
aPPLICATiON ;FOR PERMIT TO .......96c... 6.:..... ...:...... 7,7
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v........11, .......... ........... ..........
TYPE OF CONSTRUCTION' ..wV..� 1 . 'e. ...... .. .....:..........
..... ... ................. .............
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TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for,a-.permit according to the followin inf ciormation:
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Location ............ ..v........o C �( ....�v��r .... r.'`''�........ .� .....Y.."..... / ...........��...r.... �. V
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Proposed Use .......... ✓ ( h 4
.,� .. ........... ..�. ........ ..................................... ...... ....................
Zoning District .... -........... ,..lc, a.-e;t...........................Fire .District .....i.!.. 0 ..... ...................
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Name of Owner ........'�l..rny .�� .............................Address .....�(............. i` .... .:.Y!�.. rJn
Name of Builder ........ /. .. .......................................Address ..............l...!.. ......�G%1 ....................................
Name of Architect ..............................:........:..........................Address .........................: ...................
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Number of Rooms ........D.....................................................Foundation .............. •...........
Exterior ......&'.`.!..`. `nJ..............'............,..........................Roofing �S ..... ./ ........
Floors ........... u� ..................:.............................:....Interior r....'.....,,.. ...... ................................
Heating .........1!. a. ...........Plumbing U ........ ...............
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Fireplace .....� ........ .... . Approximate Cost ..... ...(9-O:.��................y..................
Definitive Plan Approved by Planniri Board -__-_-_---_ s
, 9 ---------------------)9------_ . Area . ......_.: .........�.... ..
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Diagram of Lot and Building with Dimensions 'Fee D ..........................
SUBJECT TO APPROVAL OF, BOARD FOF HEALTH `
OCCUPANCY PERMITS REQUIRED FOR'NEW DWELLINGS
I hereby agree to conform to all the Rules"and eRegulations of the Town`of Barnstable regarding the above.
construction.
Name .......... ........
z
Construction•Supervisor's License ....................................
-YAMPOL;SKY, MICHAEL
No 298
......... 3.7, Permit for .....Buxld.Addition. q _ - r
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,:WgJ e...Family..D elliag. ................ ,
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Location ..436...Qld..CrAgvil Ia...Raad............ ,
...... x.t. .... `" ¢
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Owner .. Michaerl..Yamg41.S.ky... ............... .
c' Type of Construction ...... .`.....................
r, .. ...... .....�,• ... .. - ..... .........
Plot ` t A .... Lot ...............................
A ti ri F.
Permit'fGranted .......AuguSt•`'25.... 19 $6
Date oftnspection .... .............. ...T'19
Date Completed .................... .... ... .L9 y
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