35 ARBELLA ST - BPA-2008-102 ROOF I � ,
What is the ourtent use of the dirg7 if dwelUM how many units?-- —
Material of Building? n' Asbestos?
Will the Building Conform to Law? —
Architeds Name
Address and phone
Mechanic's Name s
Address and Phone G HIC Reybtradw 0—�_27
Conavucdon Supervaors License 0
perms so Cata+MM
Estimated Coat of Project: � Estimated Cost X$7/111000 Residential
permit Fee
- -- Estimated Cost X s11ti1000 Canmerc3ai----
- An Additional$5.00 is added as an
Administrative duwg&
Make sure that ail flelds are properly and legibly written to avoid delays in processing.
The undemigned does hereby apply for a ti Building permit to build to the above stated
speciflcatkxu.
Signed under penalty of periury X d
0 2�
Date
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crtY"OF XLEX
P JBLIC PROPERTY
DEPARTNIENNT
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MAY'4
130 Wwswrw-rtx�Scf�,T�"-==� �st�n 01970
147:M- 73 S9M•PAZ 97&74G.9M
APPLICATION FOR THE REPAIR, RENOVATION CONSTRUCTION
DEVI LITION O CAAN FOR EXI TIN
O R GE OE US1: OR OCCUp�t►rry pNy 3 G
STRUM"R OR HUIL.DitN(`
1.0 SITE INFORMATION "
Locadon Name: -SIG Y sL� C� Buikttng: c,,
Property Address: -
S
PropwV Is located in a; Conseevation Area Y Hlatorlo OlWkki Y
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land '
Name:
Address:
Telephone:
10tOMPLPLETE THIS SECTION FOR WORK IN EYttsTnursVONLY
ion Number of Stories
in use n ate year of Area per Floor (sf)on or renovationg building .
9def Description of Proposed Work:
Mail Permit to: