272 JEFFERSON AVE - BUILDING INSPECTION TA
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PLANS MUST BE FIUD AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BFMG GRANTED nn
Building Permit Ap r Loeadw of Building
'(Circle whichever applies
• Addt io FamttlationOdy,Wrecicirtg �
PLEASE FELL OUT LEGDILY& COMPLETELY TO AVOID DM AYS IN PROCIeSMG
To the inglowor of Bupdiogs:
The tmdmaiand hereby SH&U fora permit to build wmdws to the!following apat36catiomm
Owrer'tiN&m ,�A°Gi/I rc�f/ Ste_ Caatncbr. wl "o" .grade/
Swett 3� c�adSWorf{1 c1fi City 4��r! Sam Chy
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Architect:_ Wlllthm y?ro-HAV CityofswmLldt . .
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stmPhone (SIs) 335--b(b53 ---
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Unm tm: (please cirde) Single Family. Muni Family N Otha
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Dn Submitted; no MaU Ptrmit to:
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i;n of APP�adon.$ GNED UNDER THE PENALTY OF PERJURY
-- CONSTRUCTION TO B k. 2M—PLETED WITHIN SIX(O MONTgS OF PERMIT LSSU)eD DATE
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