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26 BRIGGS ST - BPA-2008-62
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FOR ANY EXISTIIVG STRUCPURE OR BUII.DING , 1.0 SITE INFORMATION � � � � Location Nams: Build(ng; ---- - -- --- _-- - ' �r°p°rty adaresx�Co �.N.-� S� Property t�beated tn a:Conearvatbn Area YM J��HlsWtle Dletrbt Y/N� 2.0 OWNERSHIP INFORMATION Z.1 Ownw oi Land � Nams: Addreaa: � � �nli a t q �o � Telephons: — '� .- 3 . 3.0 COMPLETE THIB SECTION FOR WORK IN E�II8IINLi BUILDING8 ONIY Addition y� Exiating Renovation Number of Stories Renovated Change in Use ' New OemoliUon Existlng Approximate year of Aroa per floc� (s� Renovated ' construction or renovation of ezisting building ( � New RriPf Oescription of Proposed Work: ���� _ � G�3v ` e m,.�c�?� ��o.vvw�cJ.A_7. 0,5TJ\ �� ✓�i"t� . tf� � +�Us�l7-'l��c� r,� ,�1-�-� ��,, �A� �.�-� . Mail Pertnit to: �� \ ��. . , What is the curtent use of the BuildingT �� � —, Material d Building? �� _ H dwelling.►ww many ul+'Rs? O � � , .. Will ths Building Contorm to Law? �_ Asbestos4 �A1 c� _ � � � � �� ArchiteeCa Nams ,� - `�- �, 1�O Addreas and Phone 1 t Mechanids Nams r i-�,.�-c� � �_ �'g� - Addreas and Phone � F���� � -�y �"''� -614� 9��- `��'Q-a3�3 isots License# n� � �'� HtC RegiatraUon# 1� i/, g; � Conatruction Supeni Estimated Costq o1�ed i� b� � PetmR Fe�Calculatlon Pem�it Fee i__y[Z!s�-t�y Estimated Cost X i71i1000 Residential __.. . - -___ .__ __ .---__ ...----- - -- . -- --- EstlmatedEoatXS41/S100QCanmerdal-----_ _- - - - M Addftlonal i5.00 Is added as an Administrativs charge. � Make sure that all flelds ars properly and legibly written to avoid delays in processing. The undersigned does hereby apply for a Buildlny Permit to build to the above stated �/ c speciflcatlons. Signed under penally oi pe�Jury /� " �^��'-� ���� � . Date o � � � I J � N I S �� � � u tt/ � 0 t,. ' p#1 � . I ` � S� .. • w� c �o � � � ac ° , '`l' � � a o F '3 � °o � 3` ' Z � '� .� � � S --- w -�- _ � __ CL�- . -� _ . � ---- . _ �