20 SCENIC AVE - BUILDING INSPECTION u {.
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4 i i
• i .IAI.Si 7 R TO: "P T :11INIG GRANTED
EM
�IT� OF S L
,;Y I
Nb r i� Date /o 33
.?a
;rl Ward
7 \� Zoning District
la Rmporty Located In Location of
lhe0itbde District? Yes_No Building odd vu� �1n G
'si ProRerty Located In
the Conservation Area? Yea_No v
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Sidin Construct Deck, Shed, Pool,
Repair/Replace, Other:
PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications:
Owner's Name
Address & Phoneme �iu _ (192�) 7 yS- 6 76 2
Architect's Name
Address & Phone nn 1 )
Mechanics Name oC
Address & Phone l6 2�. , a,, 1 f7F) -7y - SS��
What is the purpose of building? (X-,rGf.0✓tor
Material of building? , 4,4 If a dwelling,for how many families? /
Will building conform to law? -- — Asbestos? /TL-0
Es#malad cost 11, d o o City License s 3 State License n G o2 G 5
Hate Improvg
Lic. i / d W 7
Signature of A ;plicanl
SIGNED UNDER THE PENALTY
OF'PERJURY
DESCRIPTION OF WORK TO BE DONE /l
MAIL PERMIT TO:
a
o �n 03MAM till: RO 9 U, tuu;l.
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