9 PEARL ST - BUILDING INSPECTION (3) '' AM4 MWT*E 4FIW94 ID APPROVED By 744E
IMSPEC=PRIOR TD A PERMIT BEING GRAN b
CITY OF
_S
No \ Date
WWd
Zonrq Dlsffld
Is Property Located to Location of .- //
ft HWAdc Dldit? Yss_No_ animins ���t�< S7L
Is PIMMIV Locded In
lM CorwraAlon Ann? Yak_No Permit to: —
BUILDING PERMIT APPLICATION FOR:
(Circle whichever apply) Roof, Reroof, Install Sidi Cons(ruct Dec , hed, pool,
Repair/Replace, Other r
PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS: '.
The undersigned hereby applies for a permit to build accorc ig.to the,following
specifications:
Owner's Name
Address & Phone 9 /�� �1T
Architect's Name
Address & Phone f
Mechanics Name mil/
Address & Phone L�� 627?-i��Iw-'o; ;l �—
What Is the p Mm or bulldkrg?
md"of tarlldptp? B a dwearq,for how many famon?
WIN blldkq col ftnn to law? Asbestos?
Eaton@ W cost �z vU c y tJce a 7�»
aa.. Iaptosen s
�(S Lie. i 2 �f
Signature of Applicant
SIGNED UNDER THE PENALTY,
OF PERJURY
,DESCRIPTION OF WORK TO BE DONE /
MAIL PERMIT TO:
C//
.t.
No.
APPLICATION FOR
PERMW TO
LOCATION
/ [
PERMIT GRANTED
19
APMOVf D
INSPECTOR OF BUILDINGS