32 HAZEL ST - BUILDING INSPECTION nlera:
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PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Building permit Ap Loealba of HsUdiag �Q �PnM , M la of G 7()
YC�e whichaver epp ) .R"f. ft"ll siding,Cossnuot peck,Shoo Fool
tuM Alteration,ReWidllapLce,Faugdation Only. Wm*in3
Other.
PLEASE FILL OUT LEGIBLY& COMPLETELY TO AVOID DELAYS IN PROCESSING
To the htipepor of BuiWiags: '
TING tmdmsigmd Oaeby applies for a permit to build aaording a Ua following specifMolo m
Owsati Nape; aa,l r e ho ca, Cestraetor.
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ArcWteet:_ ( _S City of Sake Lick
Street Ciq' State Uco
Snu Phaatc ! ) Hoaeoweers Exempt Fora_yp up
Structure: (please circle) Family Muth Family 0 Odw
Estimated Coat of job S 7 OU
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Sipraurre of Apokojon,$ GNED UNDER THE PENALTY OF pZLFURY
CON TRUCTION T B 1 014 PLETED WITHIN SIX MONTgS OF PERMIT ISSUED DATE
Depattmou use only: Fermlt/ 1 -v �uift
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