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ARCHITECT OR ENGINEER OF RECORD NAME _~JnCob “T. Eiitton BUS# Ji e- B48 ~ 0699 MAILING ADDRESS_P.0.. “Punt BO Exet Aurormn. NY j40S2. PRIME CONTRACTOR/BUILDER | NAME Vioge. shelter - Shetlor Cons euch? suse We- fd 35S MAILING ADDRESS SS© 3 Nogit Kh li “KA Gee nu _RY lY74¢0 PROJECT COST ESTIMATE (CONSTRUCTION) $ BO, Ceo ANY CONSTRUCTION WITH TRUSSES, PRE-ENGINEERED WOOD, AND TIMBER CONSTRUCTION MUST FILL-OUT ATTACHED FORM OConstruct OAddition OAlter OMove (Demolish OSingle Family Dwellmg OT wo Family Dwelling CiMultiple Dwelling CiPrivate Garage CStorage Shed Other (describe) > X YOX/le fore Pann Dimensions of Completed Project BO Feet Wide © Feet Long 1g Feet High