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OFNll <br /> BUILDING DEPARTMENT <br /> APPLICATION FOR PERMIT TO BUILD <br /> . . .. .. .. ... ... . .. .. ....................... <br /> To the Inspector of Buildings: <br /> The und4 mii6iwd hereby applies foi- a permit, to build ne,ortling to the following <br /> I. Owner's name ....... <br /> 2. Owner's address ...te..c <br /> 3. Architect's name ............ <br /> 4. Build.r's name .......VE..V S. <br /> . .. ......... .. ... ..... ................4.....................4...... <br /> .... .......... . . ........ . .. ... .... ........... ..... .. ...................... <br /> 5. Builder's address ................. ......... <br /> 6. Location of building, Nokf..L . Street....ICOCAII/lyl. . ................... <br /> 7. Size of lot ........ ................. .... . ..... ........ . <br /> s. 1, this a new buildlnP, addition or it removal? ...... ..b.A./)/ * <br /> 9. Side of Street. North........... South................._ ER9t...... ............. best..... . . . <br /> 10. If remo%al, from where? ............. .. .. .. ..... . ............... .... . ........ ........I.............. <br /> 11. What is the purpose or binfilingl <br /> 12. Material of building? .....V11JnL_ ... ...b.... .. ....... <br /> 13. If for a dwelling, for how many families I IL:C. F <br /> .. ... ... . . .......................... <br /> 14. Is there to be a store in the lower story?,...A0. .... How many I..... ... . ..... .... . .... .. ....... ...... ............... <br /> 35. Size of building, Na, of feet front...../C-.; ;'No. of feet dec No. of stories........................ <br /> 16. No. of feet from the level of the ground to the highest part of the roof ...... .......................................... <br /> 17. Size of ell, No. of feet front....................; No. of feet deep....................; No. of feet high............................ <br /> 18. flow near the line of the streat? ... ......................................... <br /> 10. Huw near the line of adjoining lot! Right. L,-ft ...... . <br /> z I ......; Rear........../..;ell....... <br /> 30. Nearest building is........I:A�l........- feet in a.................................. dircetion.............. .................... <br /> 21. What will be the mentis of access A rooft ... ......................I........................ <br /> 22. Size of floor timbers, Ist.,_2,k.Zy...; 2d...................... 3r1............... ......; 4th... ....._.........; 5th_................_ <br /> 23. No. of feet span....... Distance to centers........."._ <br /> . .. . ... .. . ............................. <br /> 24. Will the linilding be erected on solid or filled land I d, <br /> 25. What is the material of foundation? Y- V CrP ' /. ..". ... . ......... <br /> 26. Will the roof be flat, pitched, mansard, hip or gambrel 74C�................................... <br /> 27. Material of roof covering? -7<L_>...... ..... ....................... ......................... <br /> 28. Will the building be heated by steam, furnace, stoves, or grates? 4(l <br /> .... ....................... <br /> 29. No. of brick wallst....... ........... .%Vhvro locatedt............... .... Tlikknesst..... ...... ....... ....... ......................... <br /> 10. Nambor of rooms? .... . �.............. .. .......... ....... ... .................... . <br /> 31. Fireplacet ........... A.....jC...... .... ....­**....................... ......... ....... .......... <br /> 32. Size of Studdingt .... ..... ................................ <br /> 33. Estimated cost (must be filled out) ... ... .... .......... . .......... . <br /> 34. Will the building conform to the requirements of the lawt ..y.:...... . . .. .. ... .......... ... .. ..... .............. <br /> :35. N it sewage disposal system to be constructed, altered, instaliell or repaired in connection whit this <br /> project? Yes.............. No..... .... .... ..... <br /> 36. What is. ve will be the water supply for this building? <br /> ..... ... <br /> 37. Is the above water soppiv suitable and available 3%.31, rAVInd 1191-V <br /> Signature of applicant....... 442, Le�n;... . .. ..... .. . ... ........ ... .. <br /> Applicant agrees to glv* the Inspector of Buildings 24 hours' notice before lathing, plaster. <br /> Ing or closing In studding an this building. <br /> The building will conform to the recirilroments of the low. <br /> REMARKS <br /> RECEIVED <br /> .................................................. ....................................................................................... .I............ ..............I............... <br /> ..... . .......... .....­­­.­....................... ..........4...................... ................. ... ... .... .... .. ....MAR 2 11974 <br /> ........................ ...................................... ................................. ..................... <br /> r0F1:A 1067 HOBOS O WARREN. INC iftsviato ma,) MASHFEE TOWN CLERK <br />