HomeMy WebLinkAbout24387-z FO~M NO. ·
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N? 2438T Z
Permission is hereby granted to:
pursuant to application doted ............. ~ ...~...~ ..................... 19..,~....~., and approved by the
Building Inspector.
Rev. 6/30/80
iF
IV'fA 'T'"r'l 'TU C
TOWN om
~,~U F'I~OU'~ CouN'r~., N.Y.
,/.fi ,4~ , ;
A"{A P O,=' L,,q lv o
,~ C/ R V ,= %,' ~'iD
RALPH ~ THOMP.~OAI
TOH,"N 0~' ~OUT-WO~_O
~.U~OU~ COU~/7'Y, N.)<
IIOAIH) Of III,~AI.Tll ...............
3 ~IC'I'~ O[z PI.ATt~ ...............
!HfP. VITY ........................
CTII~GK .........................
3 uel~ oE I)l~lm, ncc~:r~e plo[: I)~t] LO scnle. Fee ncco~(lln~ to ~che(htle. ',' :- ',~,~
(k:t:.i~tg'y ~;hnl t h~e l~en ~rnnted by tl~ J~milcli~ lsml~etor.
At'lq.l(~'l'[(~ U; I~I~IW FEI~C Lo tise l~sildi~ l~l~rtn~nl: for the igmmnce o[ ~t I~,ildls~O l'emlt [Xll'(~l:lll[~ ~) the
................
.......................................................... 1 F~N~
(N~.~ m~l Lille of t:orlx~rate officer) '
3. IN~
l~,[hlern l.lce.ne ~* .......................... 4, FINAL ' CON~R~N
BE ~P~ ~R ~.0.
EIc, cl:r[cinsm I,icen~ tK) ...................... THE REOUIRE~ENT~ OF
Odu, 'l'r,d~'~ I,ic~.~ tk) ..................... ~ODES. NOT ~E~PON~I~E FOR
...~ ......................... ~c~,~.~ .................... ~<~.~ .................
~k~lxl[~ini~ ...................................... IrHed ~t~p 1~ ................ l~t ...............
,. ,~,.~,,,,,.,,.,~.. ., ,,,,, ,~:,~,,.,,~:,~ .~ ~,~.~n~g. ................................................
~ bto~¢lL vinyl d~in h~L ~J~¢C
dOYgE M. WILKIN$
N.,o~ry Public, Stale of New Yo~
~o. 4952246, Suffolk Cour~
Term Expires June 12, 19~
(,~; i l%,~,t It4 e of: AIIpl i ?;I.{ )