1000 LORING AVE - BUILDING INSPECTION (17) le
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PLANS MUST BE FILED AND APPROVED BY THE
INSPEMR PRIOR TO A PERMIT BEING GRANTED
BuildingPelt Loeatioa of Building la00 G O,el.-yd- /�
AppUeatioa For.
(Circle whidtaver opp=) Reef, Reroof. Instal ' ' onsauct Deck,shod. Pool
Addition, taboo.Repoir/Repl Foundation Only.Wreaking
Other.
PLEASE FILL OUT LEGIBLY& COMPLETELY TO AVOID Df LAYS IN PROCIeSMG
To the otB.r�u„i�)di,n,,g,,<W: '
7U �1,..�+7 OPPUCS fOr a Pernut to build aaolding to the W* lowlag olocigimlma: .,3/lmve lt/!'EOU?
Owned Now c/�y6yc�iz ! !�//�� Contrmsw.. 0-ay IaF, 'b /v
suet ,spa M,6,4/ s7• city,=.= saw 5-0 c � cny �icc yvrzy
state IYA
Phone 79.23' State Phone
��0 City of Sven Lill
Street Ciq' State UaY HIP N
State Phone ( D Hot eowsen Eaeapt FMPt )L ao
SMMAH e:(plsme node) Single Family. Multi Family N;> Otitet
ENinned Cat of job$,�5?�20
Will btdldisg adira to Iw?_ no
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Drawls nitted:- yea_. ao Mail Pen,it to:
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re of Ap $ GNED UNDER THE PENALTY OF pERjURY
C=NUTION B 011�LETBDWITHIN S MONTlIS OF pEBMIT ISSUED DATE
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Permit fee Scoksm --r ---
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