6 SUMNER RD - BUILDING INSPECTION R D�Tgt / e
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PLANS MUST BE FMED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
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Application For.
'(Circle whchr* r applies) Roo& Reroof. Install Siding Cemsuuot Do*She4 Pool
Addition, Ahenttion,Repai /Roplaa.Fougdadw Only,Wtadt
Other.�ECf'
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PLEASE FILL OUT LEGIBLY& COMPLETELY TO AVOID DELAYS IN PROCESSING
To the Lupm ot•BuUdb gt;
MW tmdersiond haeby applies for a perr it to build a000rdwS to the following apoculations:
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AmblW' City of Salvo Lik ,
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State Phone ( ) Rooeowaen&=apt Form�p ao
Strstelnre:(please Girt Siugk Family Multi Family#_Other
Lois""Cat of job S_ "7Q3�,-3
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of 2EUNDER THE PENALTY OF PERJURY
CON TRUCTION T B 0MPLETED WITRIN SIX MONTBS OF PERMIT ISSUED DATE
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