22 BARR ST - BPA-08-644 REPLACE FASCIA & TRIM Whet h"W o mmm use at the Building? 12es Z -
Mal erhl of Buiktir+g? Cam— N dwsHIM how marry units?
Witt the supdtnp Conform to Law? Asbestos?
Arehilleds Name
Address and PWA { f—
MeehonWsName
Addre+pe and Phone
Corm S.Povk Ots Lireftas* 0 6 3 G'7 g_ HJC Reghtration g l 4 2 z 3 b
EatIrmsMd Cod Of Prc0d$ 1�c, Perm*Far C on
Psdelt Fee: Estir"ded Cat X:7Is1000 Residential
_._.. .. _.... . ._ Estimated Cog x$41l51O00 Condnwd4-=-.._...... . .:. . . .. .
An AddMmm$&00 is added as an
Adrninhtrafte rdtsrge.
Make acne that an flelda are properly and MWW wd tsn to avoid delays in ProO"ing.
The undersigned does hereby appy for a Building Parma to build to the above stated
sp s". signed under Penalty Of PwPY
Gede i I tj 6'1
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PUBLIC PRQPERTY
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Arri.tcATTQN FOR 3M REPAIR roy�rr� lu zom
2L) QLEMQM OR CHANGE OF U3E OR OC AAMM EM Ably ESTG
1.0 SITL° INFORMATION
Lacadw Nemec 2 Z au!"
Propuly I•kueted In e;Canal &M Aron YIN N1s0oAc Dkbi t YA4
2.0 OWNERSHIP INFORMATION
2.1 Owner of Low II _
Name: c e b t W red c
Addreae:
ZZ Sa-r 4- Sc%�ern
Telephones 9l lS - 7` - O 10
S.6 dOMPLET8 THIS SECTION FOR WORK tN iE]t!S=IdG i9UILO1N68 ONLY
Addition Extstinq
Renovation Number of Stories Renovated
Change In Use New
DemoUlan Existing
Approximate year of Area per floor(an Renovated
construction or renovation
of a aft building New
ftd t esWptton of Pro`posed Work:
l�-tOckc
-e 2x1SSnel C"e.sc;a cr.d R.cin-e. -4't'cw�
_.._---Mail Pe MRW. _.._ ..._