56 BRIDGE ST - BUILDING PERMIT APP a'
CrrroF
PUBLIC PROPERTY r
DEPARTM&NT
o�
�:ma• s•FAa sn,y.aasw
D LMON,OR CHANGE OF USZ Olt Sa6&kr Ma",
-JRZ OR B LL21M
. �.o art!INFORMATION ,
L C M*m Name
---
Properly I•boded ins;CorrervadM Aces YM mwmft DWMd YIN
2.0 OWNERSW INFORMATION
2.1 Owner of Land
Name:
Addy"&*
S•q-� i � r�1q- d/q 7p
34 COMPLET! THIS SECTION FOR WORK IN Emma ULMN�08 ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
DemoGNon Existing
Approximate year of Area per Aoor(st) Renovated
construction or renovation
of existing building New
add Description of Proposed Work:
--- -- ---Mail Permit tM _ 13nee- , i - -
i
541
vVh,e is the ourm t use of the suiwnE9
Met.rw at sultdirg7 Itwn
aw. a Itow msry units4
75 Asbestm?
&A*q Confam to Law?
ArchlteeCa Name 22 P�u��� 5� c
Addrw and Phone --5 Gltfi/,/
Likedwdet Name `7 .Y- G 2J-
AddmN and Photo p 6 %%Z HIC Repfatration d ZA 2
Cons^ Supervisors
Y� Pa mr FN Caladalbn
Esttntstsd Coat Es*natsd Coat X$741000 ReeiderMid
Psm+lt FN i Es*natad Cost X i11/i1006 Camnsrda-_—._
-- — _ An Addftna1 S0A0 is added as an
Admindmd vd dh g4L
Make Burs that alt fields are property and may w mw to avoid del"In DrocessI^4-
The wxWsWAd do"Eby any ttx s Bulldtn0 permit to _ to the above stated
speaWallone, sWad under penalty Of Ply
Date �.: �/ Z
s 5 �
0
a C
}