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7 BRADFORD ST - BUILDING PERMIT APP What is tee Current uw of the uilding? CAr+ Material of Building? 1.�o D�--L— H dwe IM tow n+e^Y u^rts9 . vwl the Bulking Conform to Law?—*-I— Asbestos? Amtd@ 's Namrr Address and Phone h52Mt ©t /1-e?r' ( 1 Medw WS Name Address and Phone HIC Registration S Cg struction Supervisors License M Estimated Cost of Rojsd par"Fee Permit Fes Estimated Coat X=7/$jOW ResidecM f�� - EsWnated Cost X i/1Is1000 CannereisL An A"Nonal$5.00 is added as an Administrable dw9lL Make sun that all flelds are properly and legibly written to avoid delays In promsing. The undersigned does hereby apply fbr a Building Permit to build o the above stated spwftaftmL Signed under penally of perlurY Date 2 B o� s N a )�y- � Gri TU1�5a�E� - PUBLIC PROPERTY DEPARTN> NT ��irer n p�p�y H roe 130 W.wwNctt>M shear•iti V+vr+�ae st<rrs Otl70 8a:M?4&"" FAw M'140M% APPLICATION FOR THE REPAIR.RFNOVAI M CONSTRUCrION DEMOLITION. OR CSANGZ OF USZ OR OCCUPA-NrV_ FOR ANY EXISTING STRUCTURZ OR BOILI�ING '—" 1. 'SITE INFORMATION Location Name: - h &Mng: _ ..- propeKy Addrssc- �r 5 / 0, M Properly k loeatsd in a;Cwmrv;Wm Ares Y/N_ -r Hktoft obW YM 2.o OWNERSHIP INFORMATION 2.1 Owner of Land Name: Address: A S SG�tWr W'k old /*7 v Telephone: S-[;z I 3.000MPLETE THIS SECTION FOR WORK IN EYl8I1d0 BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use Now Demolition Existing Approximate year of Area per Boor (sQ Renovated construction or renovation of existing building New 8def Description of Proposed Work: P / js Al a , Mail Permit to: AA- �9/9 7o