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BLD-80-032
o' um,-- /23 — 413a 5 /I No. 461W 8° Application for a Permit to Build Fee must accompany this applica ' n Yarmouth ,! g��O 19 TO THE BOARD OF SELECTMEN The undersignedppgn�� hereby applies for a permit to build,ilaccording to the following specifications: 1. Name of:9wnactali Q/&nJL Address ...5taa7244--att 2. Name of Architect (if any) ti erif 3. Name C *frh l.(/ �Mu�G , 4. Precinct No. / Lot No. Plan: Name or No. DDd y 5. Name of Street,?] 4 6. Purpose of Building / r, 7. Material • 8. Estimated cost of building / tit/ _ — / 9. Dwelling ( ,�/� 10. Cottage 7�y p " 11. Heat `/ 12. Basement 13. Garage 14. Store 15. Shop 16. No. of stories 17. Is there to be a Store in the lower storey 18. Size of Lot. No. of feet front No. of feet rear No. of feet deep 19. Size of building. No. of feet front No. of feet side No. of feet rear 20. Distance from nearest building: Front ft.; side ft.; side ft.; rear 21. Distance back from line or street , from rear lot line , side line ' Show by diagram the location of propsed building with relation to dista es from adjoining lots, on reverse side. Name "l////- D Address 3 of y... f ce-ii-r!, O 6 rr Street Name O Left Side Depth of Lot --1 �• OWWO z a m g m ^ o 0 r 0 !tea � 4 / p y, ' Oa Ow Right Side Depth of Lot rs' /` r, if • Street Name l a WOOD STOVE INSI-ALLAIION CHECK , LIST - - MASSACHUSETTS STATE • " . . • *i c, Permit , 1 BUILDING CODE COMMS'S ION • ... A building Permit is required for the installation of ,any solid fuel burning \ appliance. The building_ permit and_inst allation inspection are 1i mitedto,the ',."•••,..- -„: : stove installation andnot to the stove construction: ' "- T .- ist,e - irs• - - r 4:7 2 r Stove 7eA.:.,-f— ." 1 , .••. ,'.'..--s. w - • - -- irf-te21101C1t-11-, •C..etd'F. ..1.-..2—____;.....:_:•... k•..._,-,..-2,:,....„:;-..r.....:„:„ „.,...!.•,..•,-,.:, !..-„,:iti:::,......s" _ • ,- :::::-.:-.-: -",:,--,;-, •"..,,,,F;./ „..4;,...„- -...-_-_,..-7.` ..; :,..-,-..;-2.".. .-.7"-2.24tac---- '.-:F.T."--77-t.'•-•• ;•72-:•":•2(;',":7)1.225:t"411-,;;;C4."-:-;•;;;;ti '- ".•A'',.: , --Ai_‘_• - ity.it-a‘r-r-at-d i a-net-----_,...„?..1. :•,•„,-;;;_-",f,-AL:tit:T.:7:- calc_u 1 ay 1 ni.g.,ff,..3••••••11..s.. ..:-.1**"_4.:*:"It, 1.l..11 ;;.:4. ..,,,it,.... 0,:it-e::4-s.arf,At.),......1.14....1:*: :::... 1: B). Menu fic t u rer.5`ch7h--Ari/al-- vire." tes.t_ label .-- •- v•••••zk Ai**7.4tr".,"*Zr xi-04'V "*. *-4 ... *4 .1.*.--- ...-Z.::::.2,t : .-Z.* .a. p :. e..r',.0,,F.4;:-....N....,...,-...: -..,..c L-.-7-..1.7, --, - ..t" 7 ' (after July 1 , 1979 only/ .. -, ..t...zi,,,o.,..t , - - .-- -.r -'2-a'-.), •---4,:,.. u.;,*:. • 11..0..........t7 --;'-* 4: - ----,,,-4 74.'-7÷;--clt-' -t••1; :!•.,•-•:-n., - ...."....*,.. at a '• . ‘"" • ,;..,--A Le; .•-•_.;.•- -.«.--•••:". 4:"."..„Sr,' ••-•:•f'-t(::-..""`:$..l'rta.'1•;-27•-...-a• ": : ' -...... ••••:2t : • ' ii •--.2-•‘7?s•-71-"' I.,- ;-; Collar size----,,4..- --• . -.- ' - ' ':.,..;;;.:-..,.: : t2-343.1.-:23.:.,:.:;....;:i. 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