HomeMy WebLinkAbout9771-z FORM NO, ~
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN GLERK'$ OFFICE
SOUTHOLD, N~ Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
9771 .... Z
Date ....... kT.!J~e .......... 9 ........................... , 197..8....
Permission is hereby granted to:
............... ~.~l,gl.~.~a. ~.. ~ .o.~ ...l...n..o.., .................
...a/a..../louth~ld..Equi:b.tes ........................
to ...... m.~.y.~....~.~. ~..~.tmg.. p. fi~. c_e....~.g.l!!!~g...o.~.¢p....t,~e.....Z..o...¢.....a..¢,..... ~..v..e..Z...e.T...~..¢. ;. ........
.......... ~holc1.,...~..¥.. .....................................................................................................................
at premises located at ...................... ~z*~.~eSe~..~,.tz*eet, .................................................................
.......................................................... ~..o..u...~..o..],~ ,..~.,~.~ .....................................................................
pursuant to application dated ........ ~g~'~J~,.-J~l~.~..~ ................ , 19..7~.., and approved by the
Building Inspector.
Fee $,2~.~011 ..........
lO00-61-1-Part of 15.1
H.S. #-8-S0-57
Building Inspector
Ut
,,9
~ :
0