8 PARLEE ST - BUILDING INSPECTION (2) s
What is the current use of the Building?
Material of Building? i )QA'd V — It dwelling,how many units? —
�/ P.�_ ^ <�
Will the Building Conform to Law? Asbestos?
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pvc-fdad's Name
Address and Phone rur —t j
Mechank:'s Name
Address and Phone i 12 0 "�
Construction Supervisors License# 51 CO) q �1 HIC Registration# —
Estimated Cost of Project S « Permit Fee Ca_w—ME
,��
permit Fes i �00 Estimated Cost X$71$1000Residential
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- Estimated Cost S11/S100t) ---_-
-- An Additional $5.00 is added as an
Administrative charge-
Make sure that all fields are property and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Building Permit to build to the above stated
specifications. Signed under penalty of perjury
Date Z
V L
a � �
Is
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EITY OF
-S
PUBLIC PROPERTY
DEPARTMF.I�1T
Ki.%.u•U V ouscou.
MAYOR
I30 WAUUN W s�,T•SALa4 wcuaHLst„s 01970
741978-74S.9M•FNC 97/.740.966
APPLICATION FOR THE REPAIR. RENOVATION CONSTRUCTION
DEMOLITION. OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING
STRUC M OR BUILDING
1.0 SITE INFORMATION
Location Name: Building:
Property ss.11---._..-..- - -- --- - - -
Property Is boated in a;Cwmwvatlon Area YIN Historic DW4 Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: o C-CAxe-r
Address:
��•c I�� Sk Sc.Le PA 0 t v
Telephone:
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of Area per floor (SO Renovated
construction or renovation
of existing building New
add Description of Proposed Work:
--- - -- -Mail Permit to: Mrs ace Loch o vC^M m 1�f CneSL_ S J p v S nib' P15 c�6