HomeMy WebLinkAboutBuilding Permit #023 - 100 ANDOVER BY-PASS 7/14/2008 BUILDING PERMIT
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TOWN OF NORTH ANDOVER #_
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued: SACHU
'fIMPORTANT: Applicant must complete all items on this page
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LOCATION
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- Historic cta yes no„
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
El New Building 0 One family
0 Addition El Two or more family 0 Industrial
[Ateration No. of units: Kcommerciai
0 Repair, replacement 0 Assessory Bldg 0 Others:
0 Demolition 0 Other
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DESCRIPTION OF WORK TO BE PREFORMED:
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Identification Please Type or Print Clearly)
OWNER: Name: des 7'-e1W 11,41t 7,4 Phone: '9V-
Address:
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Jpei,
1`86 ""'ito .6*1urbift L'
Exp Date
22
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Date a
ARCHITECT/ENGINEER-57e- cle4 7-Dt'
�g&llccl, Phone: i5��13_s3j_0-1
Address: 0?,Tq_,qo5 .577-al'Zce4lefell_ /W -Reg. No. 4�S6s_
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
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Total Project Cost: _?_7,'T E E: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guarantvfund
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Location f p6
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No. 0.2..3 Date
1
NOPT M TOWN OF NORTH ANDOVER
} a ; Certificate of Occupancy $
;�s'•" E<� Building/Frame Permit Fee $
AC NUS
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # v �
2 . 3 -l4 l�
Buiiding Inspector