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18 BARCELONA AVE - BUILDING INSPECTION (2)
/ EI"1'Y ©F - PUBLIC PROPERTY DEPARThIE1VT KI�Wc�.vv p�w•w� i MGYaa I W.�twHCltxr 517Eh7• ' �K XASS.1011:St1'IS 01970 T13;978-745.959S•FAx,970.740.9W APPLICATION FOR THE REPAIR. REN0-V—AT10&CONSTRUCTION DEMOLITION, OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING STRUCTURE OR BUILDIN 1.0 SITE INFORMATION Location Name: Building: Property ss:--- - - -- - -- -- - - - - /ffAddress.---- l0 - - - Property Is located In a;Consenatlon Area Y/N Historic District Y/N 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land Name: d Address: Z9 6q I n ,� Teleptlons: 78 7yy 3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use New Demolition Existing Approximate year of Area per floor (sn Renovated construction or renovation of existing building New B6ef Description of Proposed Work: '54eiP en4ioe Mail Permit to: What is the current use of the Building? If dwelling,how many units?- — Material of Building? Asbestos? Will the Building Conform to law? Architect's Nam* Address and Phone v Mechanids Name 1 i a r+iCk Fla Address and Phone ,z � ?U Construction Supervisors Ucense# HIC Registration# ` Estimated Cost of Project i 00 ©d Permit Fee Cak ulatiort Permit Fee: Estimated Cost X$71$1000 Residential Estimated Cost X s111s1 000 Cammercia�-------_ -- -— - -- An Additional $5.0o is added as an Administrative Charge. Make sure that all fields are properly and legibly written to avoid delays in processing. The undersigned does hereby apply for a Building Perm build to the above stated specifications. Signed under penalty of penury Date /° �4p NI .fir 1\ 1 d a `o 2. C6 oil