6 TAFT RD - BUILDING PERMIT APP (002) n K rw
OVE{3 $Y 7'iiE
EING GRANTED
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Date b G3
Ward
yh �
\ Zoning District
l8,'Pr9perty Located In // Location of / /
tie HIsf He Qistrict? Yes_No V Building /o7A) r k
Is"PI,ropody Located In I �
1fie'Consarvailon Area? Yea_ No v
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) oo Reroof, Install Siding, Construct Deck, Shed, Pool,
Pepalr/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 f�t,66M Alt L6 L K�)f�P_W _C/�/mil
Address & Phone �i —Myr P 5 A V 1 W/-Oil w
Architect's Name
Address & Phone
Mechanics Name CI P/5_ AV-4L 915
Address & Phone �,/ �(/G/G�/�tJJ� �sI lnl# f�1%�l 531-1W
What Is the purpose of building?
Material of building?_ (VCfUQ If a dwelling,for how many families?
Will building conform to law? 1 Asbestos? 6
rr i I,
Estimated cost J� City License a�State License8 7y l
Home Improvoent
Lic. 1 16� Sig ature of p ant
SIGNBD UN0 THE PENALTY
1� Ss OF PERJURY
DESCRIPTION OF WORK TO BE DONE
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MAIL PERMIT TO: (0 MPF '
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