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HomeMy WebLinkAboutBuilding Permit #096-13 - 17 MABLIN AVENUE 4/23/2013 It Mytt I "CuRe ta BUILDING PERMIT . 0. TOWN OF NORTH ANDOVER f. 0 APPLICATION FOR PLAN EXAMINA Permit NO: Date Received Date Issued: CHU WPORTANT:Applicant must complete all items on this page 0,Q -0.. ........ ... I?RCll13 }17IE "' .......... 0 It strict ry pk TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential 0 New Building 0 One family 0 Addition 0 Two or more family 0 Industrial 0 Alteration No. of units: 0 commercial S.Repair, replacement 11 Assessory Bldg 0 Others: 0 Demolition C)Other p C.�-1 all re I Identification Please Type or Print Clearly) OWNER: Name: Phone: Address: 109,el x-z 1�v C 1.1A le- 9 4k, 4 �0 1�1,1, U V Als Joen S, pe, o sig ARCHITECT/ENGINEER- /A 4 Phone: Address: V V /it-- Reg. No. FEE SCHEDULE:BOLDING PERMIT:MOO PER$f000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost $ d-b FEE: Check No.: Receipt No.: NOTE: Pers© contractingwith unregistered contractors do not have access t the gu fund