HomeMy WebLinkAbout0239 IYANNOUGH ROAD/RTE 28 - 7477 e�QyoFINE
TOWN OF BARNSTABLE
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BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .......... .. ...................................................I.......................
TYPEOF CONSTRUCTION .....................�� .....................................................................................
..........
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location ........................................................................................................................................................................................
ProposedUse .............................................................................................................................................................................
Zoning District ........... .. ............ ..Fire District ................... ...... ........I.................................
..........Address . ........Name of Owner ... . ............... ..........Address ... ...... ... .......... .... .. ..:s s)/X-0 ..�/--
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... .............
.............. .. .Name of Builder .... .. ..... ..................... ... . ............ .. .......Address .. . ............................................ ..... ... ..........
Nameof Archit c ................................................ .. ...............Address .....................................................................................
Number of Rooms .... . .............. ............Foundation .... ...........................................................I.............
........ . ..... .
Exterior .......Roofing ....07t X ..............
....................................
...............................................................Interior .........Floors ......
Heating ........... ......J..A"... .............. ......Plumbing ...................................................................................
Fireplace .. ......:...............................................Approximate Cost ......z ............................................
Diagram of Lot and Building with Dimensions
:01
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ..................................................................................
C� T
El 1 is , HaroldJlr
No ... Permit for ....................................
.... .... .......................
...
Locatiow ...... ... . ............. ... ...... . .. .... ....
................. .. . . ..... ......................................
Owner .........:7 .n ....
Type Genstruc(lz ................. . ....
.....................V....................... .....
............
S
Plot .. .... ........................
Permit Granted .......... ......19
ti
.....................19 Date of Inspection ...............
Date Completed ........ 19
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4k
PERMIT REFUSED
................................................................ 19
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...................
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...............................................................................
44
J,
Approved ................................................ 19
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