HomeMy WebLinkAboutBuilding Permit #264-16 - 16 FERRY STREET 5/1/2018 f p►ORTh q
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APPLICATION FOR PLAN EXAMINATION
PermitNO:
Date Received +�
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Date Issued:
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IMPORTANT: Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ane family
❑Addition ❑ '.-wo or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
epair, replacement ❑,kssessory Bldg ❑ Others:
❑ Demolition ❑ Other
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Identification Please Type or Print Clearly)
OWNER: Name: ,V6s-77D2 M44 i4S Phone
Address: I 2 rz.L 4 .5o4--A,44 /9 Dej1 ^4,3-
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ARCH ITECT/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: $ 3Q� o't�•S FEE: $ 56y oip
Check No.: 119 Receipt No.: 99 ag_
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty nd
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