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HomeMy WebLinkAboutBld-19-005423 / ` TOWN 0:t; YAR MOL TH 1146 Route 28, South Yarmouth, 02664 508-398-2.23 ex . 1261 Fax 508-398-0836 Office of the Buis ng Co missiOue-- RECEIVED SEP 17 2019 alb - 1i - ©°Sy1,3 BUILDING DLPARTMENT (3y._____ ___-__..___ FINAL COST AFFIDVIT FOR WORK IN FEMA FLOOD ZONE To the Building Commissioner, In accordance with 780 CMR Section 109 of the Massachusetts State B ilding Code, the total estimated cost of construction, including all related costs* of the building at a 7k A, k A.ok �� W ..>--1 .A\4 JC( and constructed, reconstructed, a ed, repaired, or extended under buildingpermit no. L —% M OO$ amounts to $ S'S! 'e t)O t'1zc p y I, El S < <'l"CcC3{. ,being referred to as the owner/agent identified below,do solemnly swear that the statements made herein are strictly true, correct and made in good faith *Related construction costs include all work done with or concurrently with the work contemplated by the building permit including construction, reconstruction, repairs, demolition, HVAC work, etc. Furnishings and portable equipment are not part of the total construction costs. —Z7Z Signature of owner/agent f.. k° N tart'Pu lic Signature y Co is Expires N tary Seal: EZOZ'0£yaaew sa0x3 UoISslwwOO AN " sgasnyaesseI jo tgieaMuowwoO .iR Nod Xi oN , � 'It HSV1dd11I!V9 '