HomeMy WebLinkAbout23439-zFORM NO.3
TOWN OF $OUTHOLD
BUILDING DEPARTMENT
TOWN HAU.
SOUTHOLD, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZEDI
............... .....................
Permission is hereby granted to:
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CounlyTaxMapNo. 1000 Section ...... .~.~ ........Block ...... ~ .......... LotNo ....... ~..,~,,, ...........
Building Inspector.
Fee ~....~.~....
19,..~.. ,~,,.'., and approved bythe
Rev, 6/30/80
I'I.()T
NOT[~ BUILDING O~ AT
765-1802 9 AM ~ 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - ~0 REQUIRED
FOR POUREDCONCRETE
3.2' I~SU~TIoNROUGH - F~M,NG & PLUMBING
4. FINAL CONSTRU~ION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION .S~LL
~HE REQUIREMEnt-OF ~E N.~
ENERGY
COD~..R~NSlB~ FOR
~ OA ~u~e~ ~RO.S
......................
CLAIRE L. GLEW
Notary Public, State of New York
No, 4879505 /~/
Qualified in Suffolk County
Commission Expires December 8,
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BLDG. DEPT. ,
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