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BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING FINAL
[ ] FIREPLACE & CHIMNE [ ] FIRE SAFETY INSPECTION
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DATE INSPECTOR
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M"arpuruow Application No. _
EI�lAEE11111:N6VUATOWN CLRRK Construction t�
?A.BOX 1179 —
souniO1D.NEW YORK 11911 Alteration
Telephone $10.00 Residential (�
(631) 765-18TO
l $n.U11 Non-Residential
TOWN OF SOUTHOLD
1
OUTHOLD WASTEWATER DISPOSAL. DISI'RIC"I
APPLICATION
'4101-
CONSTRUCTION
410rCONSTRUCTION or ALTERAI TUN PERMIT
SEPTIC TANK or CESSPOOL.
Permit No. 3536
Fee S /
DATE 10/Je%� _
APPLICANT NAME: PECONIC CESSPOOL 777
APPLICANT ADDRESS: P. O. BOX 972
MATTITUCK, NEW YORK 11952
S � � CCSPOOL
pF, IPTION OF 'PROPOSED CONSTRUCTION OR ALTERATION _
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n rl P: Must be attached hereto before permit may be Issued.
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L PROPOSED CONSTRUCTION OR ALTERATION:
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l7�II Ft�, 'QF PROPERTY: AOA __--
QWNER MAILING ADDRESS: 7�1�s� 19?a1 41')V" /Z of
OWNER PROPERTY ADDRESS:
• - _-PHONE NUMBER OF CPNTACT PERSON: G3/
"1104 Section(!10. : Section �� Z Block -S Lot
' �UREET:
$UILPING PERMIT NUMBER CROSS REFER, ICG
Signature of ' iica it -
RECEIVED BY:
own 1 N er' s i6flice
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