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PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Huddles
Building Permit APpikation For.
ICircle whichever applies) Roof, Retool. Wull S44L Construct Dods.Shen Pool
A&lidmt` Alteration Reparr Foundation may. Wmkbg
Other•.
PLEASE FILL OUT LEGMLY& COMPLETELY TO AVOID DELAYS IN PROCESSING
To the bupegor of Bui)d. '
710 uod=WpAd hmeby applies for a permit to build aocordwS to the foilowio`aped8wtlonr
OwmxtiName Mike s(,QZ Contractor. J.
Smw.ZZ:C M c, '/ City �_/e.! Street 1— .8 "f rl- Wcy le irk
Sure M Phone (FM 7e1S a 1 State MA Pbooe(9,7Y) 578- LF1 G y
ArcblIM: /V IA City of Sobs Lk
Simet CS o18,38
Ciq — State L iv#
Sate Phone ( ) Homeoween Esempt Foro___ya ao
Strmure:(please cu de) sw&Family. Muhl Family N Odw C&An ct o
Estimated Cat of job S '/So o
will Mdwwg aNim b b*! 1<0 ya
Mbatoat__ya K no
Deseriptimm of wo ale c- -Drawimp Submitted:_ so Mail Permit to:
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Sipiature GNED UNDER THE PENALTY OF PER7URY
CONSTRUCTION TO B ' pfYIPLIE WITHIN SIX(6)MONTBS OF PERMIT ISSUED DATE
Dqmn++m use only: Pen*d Zoning
Permit fee S --T-
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