16 NICHOLS ST - BUILDING INSPECTION DA29r
Cttp Dfa�E17T, $���L�U
PLANS MUST BE FILED AND APPROVED BY THE
INSPEMR PRIOR TO A PERMIT BRING GRANTED
Building Permit AppUeatiom For. L cW=of HuildioF
'(Circle whidaom aPPdics) Roof Remof II i oncu Dxk,Shed,Pool '
• '���='•a"�'_"�plaoe,�bttMation OdY. Wtndtit►t �
Other: ,
PLEASE FILL OUT LEGIBLY& COMPLETELY TO AVOID DELAYS IN PROCESSING
TO the bupector otBuiWinga
The uodmsipod bmeby applies for a pennit to)build wco�dwX to the bilowins aped8pllms
Owmen Name: h gMfiN r /W I "°
r,Comtraeto
/� city en S.
Suue '-A Phone ( bp) 273 -2130 SWC Pbomo( )
Ambisect• City of Saks Lim
Surat city state LiaM �BIP N
soft Phomo ( ) temoowmers Etasmpt ROrm�ea tto
StruMM(please circle) Single FoWly. 'Family tt Z Olhe
Estimated Coat of job S 7 0• d °
W W bmimwg adlno to law!
Asbaytaa?lea
DDescr;Om of work io be dame:
JJ lUTnc�'n
°I"1 vp in �IV>> �r.�e j lr�vna Mdl Sorfb
61A) �t
Drawim —,yes noMail Permrit b: *o h AA, 'Ado
o
SipaAtn of GNED UNDER THE PENAL-1Y OF PERJURY rA{
CON TR CTION TO B } O MPLETED WITBIN SIX MONTUS OF PERMIT ISSUED DATE
Depmruttatt use ody Penrod\b� yob
Permit fee
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