HomeMy WebLinkAboutBuilding Permit #722-13 - 120 WINTER STREET 5/1/2018 r
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BUILDING PERMIT �'�`�-"" ro•s`�o-..°'6�0
- a TOWN OF NORTH ANDOVER 1 1 �o
APPLICATION FOR PLAN EXAMINATION f 4 -
Permit NO: 952 Date Received
Date Issued:
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IMPORTANT:A licant must complete all items on this page
LOCATION /,- Q (20 10 iCY SL ff0d-h 6✓E��
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PROPERTY OWNER
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MAP NO: �y PARCELt/yqVrZONING DISTRICT: Historic District yes no
Machine Shop Village yes n
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetland
p p s ❑ Watershed District
❑Water/Sewer
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Identification Please Type or Print Clearly)
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OWNER: Name: \ Y,2 Phone: - S-b-�oO
Address:
CONTRACTOR Name:bYOnft , n) CCV1 GtYUL�h CrI LLE Phone: 1939
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Address:
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Supervisor's Construction Lic se: Exp. Date:
Home Improvement License: Exp. Date:
15�f�9 II- Ito-) 3
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ —6%5 � FEE: $ 00
Check No.: Receipt No.: ac. -g
NOTE: Persons contracting ith istered contractors do not have access to the guaranty fund
Signature of Agent/Owner kJ! ianature of contractor
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