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EXHIBIT "B" <br /> c ommamne ' of ii(neanti uaeIts <br /> �.h 1 <br /> BUILDING DEPARTMENT <br /> t. <br /> APPLICATION FOR PERMIT TO BUILID <br /> To the Inspector of Buildings: <br /> "'e <br /> The undersigned hereby applies for a permit to build according to the following specifications—. <br /> 1. Owner's name :__r-..... c�--•----......-••-.--.-..... <br /> •--------------------------- --- -- <br /> 2. Owners address -.._-.. L�t C._1-a .__GLL�LCl:Y:.S _ ._!7%%F.......-.--.-.....-......................._. <br /> S. Architect's name C .4'.G!_Lfos: _.-_4:f-.L . .........................................._.._............. <br /> _ <br /> 4 Builder's name .........LC t: �_t. Lam / .'L7 ........................ -... <br /> 5. Builder's address _... 13:.1....�•=2...10.1c <br /> 6. Location of building, No........_....... Street...... ?j-.../.V..t/........L.: ........'f211t�i� r�..---•- <br /> 7. Size of.lot ----7 ..C< [:t e_ ... C T....................... ............................... <br /> S. Is this a removal or a new building _.. :-.....--•......................................................._.------------...--•---••-- <br /> 9. Side of Street. North................... South.................... East... ...... West................................................. <br /> 10. If removal, from where? ................................----..............._..... ... ... .. ...--------------.............. <br /> ' <br /> . . . . . ............... <br /> 11. What is the purpose of building4 ... / <br /> 12. Material of building? ... //................................./.................... <br /> 13. If for a dwelling, for how many familiesT .......................................................................................................... <br /> 14. Is there to be a store in the lower story?.._ar_.O........ How many?..................................................._............... <br /> 15. Size of building, No. of feet front...12_f_r..... No. of feet deep... ......; No. of stories.....!.._._._.._ <br /> 16. No. of feet from the level of the ground to the highest part of the roof ._./..L..�...G <br /> ............................... <br /> 17. Size of ell, No. of feet No. of feet deep.................._; No. of feet high........._...__..._ <br /> 18. How near the line of the street? .....MZ2...�.................................................. ........................................_.... <br /> __ ' <br /> . 19. How near the line.of adjoining lott Rigbt...2.7,...ir.....; Left .../..1.-�. Rear....S..L'0...__...... <br /> 20. Nearest building is ........................... feet in a_....................•---•-------... direction........................ <br /> .----------- <br /> ---- <br /> .....••••-- <br /> 21. What will be the means of access to roof s .................................................... <br /> 22. Size of floor timbers, 1st...................; 2d.._....___.....-_; 3d......_..............: 4tb....................; 5th...................- <br /> 23. No. of feet span-_........................: Distance to centers..........................................:.......................__..._..........- <br /> 24. Will the building be erected on solid or filled land? ..............................I..........-----_-._.-__.... .. <br /> 25. What is the material of foundation? .... .Z........To�sz�...3C%o.U... ...Z.�t. c .......... . <br /> 26. Will the roof be flat, pitched, mansard, hip or gambbr/rel? __./ r .........................................._.............. <br /> �� <br /> • 27. Material of roof covering? . ..`1. ` ..t�_-7'£ •-----....---•................./..........................................._._..._..._. <br /> 28. Will the building be heated by steam, furnace, stoves, or grates? .... ,Ccu.'u���, <br /> 29. No. of brick walls?...I............. Where located? � _ Thicknesss 1_A/�.iLc. celin <br /> 30. Number of roomst - Y----------------•--------••----•-••--•--_-....------------------_................................................. <br /> -- _. <br /> 31. Fireplace? --•-•-•---------._....---l-------•-----------................................_.............-..--------------------------- <br /> 32. Size of Studdingl __/2...... *//.1�-.4; .1t(:de//�A ..............._....................................... <br /> 33. Estimated cost (must be filled out) ...................................................................._.._-__.__....-_.... <br /> 34 Will the building conform to the requirements of the law? ...... . ^.. ..................................... <br /> Signature of applicantl��ir. LLtlr� .l�j2__ ..!1wLcu :(L�•`fitt� <br /> Applican} agrees to give the ,Inspector of Buildings 24 hours/notice before lathing, platter. <br /> Ing or closing in studding on this building. - <br /> The building will conform to the requirements of the law. <br /> REMARKS <br /> . ......................................................................................__..................--.............--------....---..........................._..........._......... <br /> ....................................................................................................._...................................................................................... <br /> P'17�� !71i H95:• F 4'F?42M. INC.Iv tvu,0 :..al - ' <br />