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ARCHITECT OR ENGINEER OF RECORD NAME Bil C2upeyasks BUS# MAILING ADDRESS (iZeseeve Rd WEST SENECA NY PRIME CONTRACTOR/BUILDER NAME GANGS NOSTETLER BUS# MAILING ADDRESS_"75/3 CeAwfoen Caeek Pd CANEOEA Ny 14°17 PROJECT COST ESTIMATE (CONSTRUCTION) $ IES, 000 ANY CONSTRUCTION WITH TRUSSES, PRE-ENGINEERED WOOD, AND TIMBER CONSTRUCTION MUST FILL-OUT ATTACHED FORM wConstruct OAddition OAlter OMove ODemolish OSingle Family Dwelling OTwo Family Dwelling OMultiple Dwelling OPrivate Garage OStorage Shed efOther (describe) BAGN Dimensions of Completed Project ag! Feet Wide KO Feet Long iS’ Feet High