108 LINDEN ST - BUILDING INSPECTION DAM
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PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Buildio Peraait LoeadmotBtdMog /d& ZIMV,v Y-
g Application For.
'(Circle whidamw applies) Roof. Rc=f.. install SSE / Deck.Shad,Fool
Addition Alteratio4 Foundation Only. Wmdting
Other:
PLEASE FILL OUT LEGIBLY& COMPLETELY TO AVOID DELAYS IN PROCESSING
TO the Impacaor of Bui)dinp;
The 00dwdV3Od bamby applies for a permit to build a000nb%to the lbllowin VadSmtions
Owners Nam <&4, u Z Caatraetor.
SOW job �.�r�r� S City ,Sy(e,41 Su. Ciq,
line (f ss i�? = Pbome( )
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Street .City State Ljct __Kw N
Statc Phone ( ) Homemeen Esapt Foro.L,yes mo
Stnucore: (plow drde) Single Family. uki Farm(,# .Z Ogw
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Ealimated Caat of job S
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Aabeatod__yes��no
Deacdptko of work Io be dwe:—i� 1�n�1!�r�
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Dmoviop Submitted: no Mail Perak to:
AIPPocagwo SIGNED U R TIE PENALTY OF PIf Lmy
CON UCTION T B OMPLETED WITHIN SIX MONTRS OF PERMIT ISSUED DATE
Deportatmt use only ZonipS
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Permit he$
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