250 HIGHLAND AVE - BUILDING INSPECTION (2) a 2 i 6
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PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Lae afB� 250
Buildioe Pornit APPib�tioa For
'(curie whie wm applies) R 0;04i; U Siding,Conte Dwk Shed,Pool
Addi to - Faugdelioa Only. wm*lus
• Other.
PLEASE FELL OUT LEGIBLY& COMPLETELY TO AVOID D1f,LAYS IN PROCESSING
. To"hnpector of Bui)d w
The WUM04OW bmby applies for a permit to bWld accordws to the Eoilow*g
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StrtrMm-(piaase arde) Soak Family Muni Family tl Older Y, s
Fatimated Cost of job i 0 O . CJ
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Sigmawm of Ap UNDER TBE PENALTY OF PtRJURY 0945
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