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Town of <br /> BUILDING PERMIT <br /> Date - - `s " Permit# <br /> 5 - 0 <br /> Owners Name -i)c)vc,„ L.) 1 c Address I L) Kt}11 ,,C sk%) <br /> - <br /> Telephone# 7 c/o 01 Zoning District <br /> Parcel# C- 10 --K03 02- 01 C) Number of Units <br /> Permit For Ao tv r C‘C. r cfr t Proposed use r <br /> v\t) <br /> Subdivision Lot# Block <br /> Lot Size Project area/volum(41 dcubic ft.) } <br /> Ci Estimated Cost 0 Permit Fee Z <br /> Contractor Information: <br /> Construction .S - s 5' "c Phone# Lic# <br /> UL C <br /> Electrical ) Phone# Lic# <br /> Plumbing T (.;;;, Phone# Lic# <br /> HVAC ) f Phone# Lic# <br /> Notes: t .\ (LILL_ <br /> N.A 44- <br /> zi <br /> A PLAN MUST BE SUBMITTED SHOWING LOT LINES AND DIMENSIONS OF THE PROJECT. <br /> NO WORK SHALL BEGIN WITHOUT A BUILDING PERMIT <br /> Owner or Contractor(sign) j f' / <br /> Approved By - Date 17:7 1 - ) 4- <br />