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TOWN OF BARNSTABLE
22
11ARWWA V RLr
AS&
103Y. A
BUILDING INSPECTOR
7�APPLICATION FOR PERMIT TO L ......(
TYPE OF CONSTRUCTION ....... ...... ...... .......................................
...............................
. ................. ......................19-7-),
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information-
Location ..... C .... .......... 5
R.. ........-... .......................
ProposedUse ....... ...................................................................................................................................
Zoning District .........................................................................Fire District ......
f ..PM . ................................
Name of Owner .. ... . ....Address
Name of Builder&�.. . .... Address
Nameof Architect ..................................................................Address ....................................................................................
Number of Rooms ...................7...........................................Foundation ..�..........
Exierior ........ ......Roofing .... ....................................
Floors .... ......................Interior,0-z,-.;:tUGC
...............................................................................
Heating .............. /Gv.......6.7... ....................Plumbing A.411.........4...0......0........ ................
Fireplace ...................... -,2....... k4...................................Approximate' Cost
Definitive Plan Approved by Planning Board --------19 A.
Diagram of Lot and Building with Dimensions
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 Baripstable regarding the above
construction.
Name ............................................
A, D. H. Realty Trust
. ...........
No ...1534a.. Permit for .........one...story....... Raw
single family dwelling
..................... . ...........
Location ........................ ....................... War
.......................
Owner .........A. D. H. Realty Trust
Type of Construction ..........frame.....................
.............................................0........................
Plot ............................ Lot ...........#46....... .............. t
4
Permit Granted .........August... ..... .....19 72
Date of Inspection ..... ...........19
Date Completed .....A.... ... . ... .....19
9's
PERMIT REFUSED
................................................................ 19
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Approved .............................................. 19
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