HomeMy WebLinkAboutBuilding Permit #109-15 - 10 WALKER ROAD 7/30/2014 (4) %AORTH
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BUILDING PERMIT o�
TOWN OF NORTH ANDOVER to t
M415APPLICATION FOR PLAN EXAMINATION * Z ,�
Permit NO: Date Received Y#- P�"�y*
Date Issued: r 9SSACHu`�f�
I ORTANT: Applicant must complete all items on this page
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LOCATION r -1)-n 1T CP.- _A0 a,074 1!1;rint
PROPERTY OWNER P. �� i-M it m t�-1
- - Print
MAP NO: PARCELZIO ZONING DISTRICT: Historic District yesno
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition KTwo or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
Demolition -kkCr ❑ Other
❑Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
04 m1r)4k 04 un t7- C;�
Location Y`•� ��' � G lJL( �
l - II No. l d t "
OWNER: Name: '��(1 Q��..1, � Date N 7
Address: z ix)a 6
CONTRACTOR -flame: • -
TOWN OF NORTH ANDOVER
Address:
Certificate of Occupancy $
Supervisor's Construction Lice. Building/Frame Permit Fee $ --
Home Improvement License: Foundation Permit Fee $_
Other Permit Fee $_�
TOTAL $
ARCHITECT/ENGINEER
Address: Check#0__79)
FEE SCHEDULE:BULDI PE <
Total Project Cost: $ 27837
Building
Check No.: '�l
Inspector
I NOTE: Persons contracting
Signature of Agent/Owner Signature of contractor
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