34 BOARDMAN ST - BPA-2008-637 FINISH ATTIC t
What is the current use of the Building? Q& -I- C-
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Material of Building? 06 `-
I(dwelling.how many un'Its? 0 ti P
WIN the Building Conform to Law?_`f Ef 57 Asbestos?
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Architect's Name 404� /o+fL+u r ye-i ✓ �c i i c vti3 /tio ✓� z oi,s Cs-.�BSc �t* C
Address and Phone "�
Mechanie'sName " 97�'— 7q5'-6S1`-1
Address and Phone 3`F do
Construction Supervisors License# HIC Registration# —
Estimated Cost of Projed$1jeVOP Poona Fee Calculation
Permit Fee i �I *S —52 6-s'P Estimated Cost X$7/$1000 Residential
- - — - - - - Estimated Cost X i41/51000 Commercial-- -
An Additional$6.00 is added as an
Administrative charge.
Make sure that all fields are property and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Buikfing�Peermit to build to the above stated_
specifications. Signed under penalty of pedury
Date
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PUBLIC PROPERTY
DEPARTMENT 26f
Kisa u"ORMLAL
NwvaR 12GWASMrwT[ TnLE=
&MMk SlwSuan:skn-rs 01970
*M-970.745-9S"•FA=w&740.9W
APPLICATION FOR THE REPAIR. RENOVATION, CONSTRUCTION
DEMOLITION. OR CHANGE OF USE OR OCCUPANCY, FOR ANY VaSTING
STRUCTURE OR BUILDING
co SITE INFORMATION '
Location Name: Waft, Q- Gv=eQl Building.
---- - Property Addrow---- - -- - - -- -- -- - - -- -- ----- -- --
Property is located in a:Conaarvatlon Area Y/N Historic Mulct Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: joLeh W4xtti -e 6o✓a I t Gv i
Address: 3<-e 8 d c v J- 4-" 5
Sc, l at
Telephone: q7S - 7-:* S - G S t `/
3.0 COMPLETE THIS SECTION FOR WORK IN EXISIM BUILDINGS ONLY
Addition - Existing Z
Renovation Number of Stories Renovated Z rt
Change in Use - New
Demolition _ Existing 60 ;
Approximate year of Area per floor (sf) Renovated ®
construction or renovation
of existing building New
Brief Description of Proposed Work:
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¢% OGv �Bis7 ✓1(w- r/ /Vcl . .2 ol.Cc t/�f V!/a.Q�Gtt�._yr i(i/ f� 4I�(,a
CO
----- ---Mail Permit to: ?°ice ,
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