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0 FELT STREET WAY - BUILDING PERMIT APP What is the current use of the ulldiny? S_�' I P m 1 lel l� wC� r.N C - Materisl of Building? If dwelUM how many units? y win the Budding Conform to Law? W e S _ Asbestos?A)& Architeds Name Address and Phone � ) - Madlanio's Name Address and Phone Co Wnction Supervisors license -20 HIC Reglatratbn 0 Estimated Cost of Project i�r n n Permit Fee CalcuMm Permit Fee$ =-� Estimated Cod X$7/111000 Residential — - - Estimated Cod X$41/$1000 Commeala'-------- - . . .. An Additional $6.00 Is added as an Administrable Charge. Make sure that all fields aro properly and legibly written to avoid delays in processing. The and' Igned dose hereby apply for a Building Permit to build to the above stated specffica Signed under penally of perjury X /oilrn�[/�/�r Date 9--IF-0 S Qk r v 0 N 3 Q o X Crry-o ;- PUBLIC PROPERTY DEPARTMENT ( �� w�.e�nsv n�wr,r �Iwva 130 WAUUN M Auer• yLLJtK YASiA6M-S611S 01970 �I:9TLT�95lS•F�tC97L7�0.9Me APPLICATION FOR THE REPAIR. RENOVATION_ CONSTRUCTION D&MOLITION.OR CHANGE OF USE OR OCCUPANCY_ FOR ANY EXISTING STRUCTURE OR BUILDING- 1.0 SITE INFORMATION Location Name: SWkWV Property Address:------ — --- — --- — — - - - -- - -- - - Property Is located In a:Conservation Arae PwAft District 2.0 OWNERSHIP INFORMATION 2.i Owner of Land Name: ©CIJN�S G(E - Address: T^ 0�,�> ca S � ree+ S e vrn M n. Telephone: C e 3.0 COMPLETE THIS SECTION FOR WORK IN ElIIBLdQ BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated Change in Use Now Demolition Existing Approximate year of Area per floor (sf) Renovated construction or renovation of existing building New add Description of Proposed Work: Rin-►��e �NaP o0r PofC k /o X o' �lePgi r S ic�i�v� --—-----Mail Permit to: