19 LINCOLN RD - BUILDING INSPECTION • _ to �
m
4! � O Z
c Q�10, In
''4�d�P.t41x�"i��1:►7r�i6.�.LL -s .'.�r"A+.`1E��11Y►Y�',,:;a(;r, U1';r+}�d�6i:t; .X!t+sif�. 4(. Fai�ntllrij ij'A.1�S '
1
��+tMc:tpt�..>A,4'1MNMk1S' � ).r.,. •'—'a)aa �,,rw��lycaaft}� eti:
�,pYRh' rt.! .:.>•+:.vi6.u;:l:a ... 54.4 r,t(•01ai
J. r
°kC�%•��,'r,3:�,E},b:.. r..•:f�11.�".r_.r llk: �+� ..
�Htlrvf>4 �4 +-".-r �.f,�+„•.� ,�,titlla,' !e 5:1. ,. wTY!�; ,-� . _. k+.,'.�
s�`{., _ . W ., . .. :(�+:J^�,;x,r.w•a, F,71 r:^�1J! 4.r:,1' . . � a+: ,
•H417�{`.vl'1 � ti'll% y" ?x�tfii;'v...lt.'.�.
.t p 'H<'�aflir •.�,-.�:.t��;�. {h; �lr.� ,.q ,....: .,. , ,... �.N.a`<: ��� ;y.,:.�,r uv ro� wF :,qt:r:�e'lar:n:
.t .. . ui - ::1.t', bi:.';kr: Dtr��:_: ;t .. vfrd'►Y�E zlei! Ik�: � 3�{'f�.rVF. �, '?fU(:
• .:+.'d CY'N 11;:.: pYni::r' r i�l!!l4;: +• .if at .- i,r
• 'SYA+ :LM;+y;, ', (YIC'+- -:{3 t ?-•1:iY� ,�,..;,..Y' [•KC,✓' ?ShY` <;r..:
LIMP
`Y., � :^!r•"y,[QS+IaM1�3I1:�I�n�C[",vrp}r'. •
a
•T . .•��r� � J1.i'�7i,:, i4''�``6:;;E> .3F�� ��f '�:.({���j�.lr �1,.�("i�"'s'SA.,T's�.(:.
. e ' .a °" y�' 'ie".! ii:: ,iYt"� ''RI 't`:°� `a`!�M►1R1't'a .�'t�'�� fJf1' .
'1
Mvfo
»ATZ:
Citp Df fiafem, A1aegarbUS;j!tt!
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
l.otation of Buildin Lincoln te
Building hrmit Appliatron For:
g n c o a
lCirce whichever applies) Roof Reroof. Install Siding,Consbnot Deck, Shed, pool
Addition. Alteration.Repair/Replace,Foundation Only, Wrecking i
Other:
PLEASE FILL OUT LEGIBLY& COMPLETELY TO AV.OW DELAYS IN PROCESSING
To the Inspector of Buildings: '
The tmdaaigoed hereby applies fora permit to build according to the following specifications:
Owners Name FZeh r i^'j •• � Contractor. rr
racto . 6x cb
C s
street I Lr�co I N City streets
State M/V Phone (IN) 7y 1 - 7 y 1 a state phone(7n) Ezle—w-rlob
Arebiteet: 6tetn_ o4nT j-,kK1 rc, soc(aAS City ofSakmUct
Stoat S-1 AfwJb„r,,', 41-• Ciq•2a-n� Statel REP#
State phone (j}g) 7s0- 9 vG Z 300"wee:s Exempt Form___yea no
Strwwre: (please cirde) Ingle amil uld Family tt Other
Estimated Coat of Jobs
Will building confirm to IW. ✓
no
Mbestaa?lea✓so
Deseeiptioa of workto babe done:_ uznv 4 — c4 c&4 6.ea M , eewtW-Q,
145 Iota t.vt ol u�r i H I LAr�-�.I( u)a vH 134C44,,,
I �/g " x Iz "
Drawints Submitted: es no Mail Permit to:
Srprature of APp $ GNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION T B ' OMPLETED WITHIN SIX
R 26)MONTpS OF PERMIT ISSUED DATE
Department use only: PermiE'y Zoning
Permit fee i
C019U NTS:
.. t