13 PURITAN RD - BUILDING INSPECTION ` F .
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t PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED f
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Building permit Applieatioa For. Bnndio=
'(Circle whichever applies) Roof,Rcmf, Umli S' ' Pod
AftdM Mmatio4 Only. Wreckitts
Oder.
PLEASE Fn.L OUT LEGIBLY& COMPLETELY TO AVOID DELAYS IN PROCESSING
To tie Ltgtepor of Bui►diags: '
The tmdmaiptad haeby applies for a permit to build amwdW to&a lbllowim speti8catioos
Owners Naaae�cc i Cmtaetor.
Shea �c c Y t ta rl I f3 City ga yh Street City
State Phone �7Ea �(O—cam( S3 State pbme( )
Ambisect: City dsttkm Liter,
Sorest City State L BIP#
Sate Phm ( ) Homoowuen Exempt Forma tso
structure:(Please ingk Family. uki Family/ Other
ENimated Coot at job S Z"�
WIN MtMias antirm to 1aw3Aebofts __ya
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De+eriptiof wont b be dmc
Drawiap Submitted; s 4 Man Piersit to:
pahtre Of APP90dons S GNED R THE PENALTY OF PERJURY
CONSTRUCTION TO Bi OMPUT\ED WITHIN SIX M MONTBS OF PERMIT ISSUED DATE
De wtmmt use ody: Penpj ll V b7�
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permit fee S
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