HomeMy WebLinkAboutBuilding Permit #Exception - 125 SHERWOOD DRIVE 10/27/2010 BUILDING PERMIT °� N°RTF q
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TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received 0 (;x A)
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Date Issued:
IMPORTANT: Applicant must complete all items on this page'V
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building ne family
Two or more family Industrial
Alteration No. of units: Commercial
epair, replacement Assessory Bldg Others:
Demolition Other
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DESCRIPTION OF WORK TO BE PREFORMED:
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OWNER: Name: �..i �.. � �l�d S ,` Phone: 9 - 817-33 3
Address: 12, .5hGrwoo 1 . _
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ARCHITECT/ENGINEER P/A Phone:
Address: Reg. No.PA
FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 9/ 952 - •3� _FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
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