HomeMy WebLinkAboutBuilding Permit #509-2017 - 33 BEAVER BROOK ROAD 11/14/2016I bpi &,1�0
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TYPE OF IMPROVEMENT-
PROPOSED USE
Residential
Non- Residential
filWew Building
Wne family
Ulddition
LETwo or more family
ffindustrial
tIteration
No. of units:
Elornmerciai
EaOft
epair, replacement
ssory Bldg
E!"bernolition
Q)ther
r s:
eptic ell
77-
7,-
J,
A/\ S+r') I- i
OWNER: Name:
Address: 33
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Identification Please Type
or Print Clearly)
43�
"S
7
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ARCH ITECTIENGINEER- Phone:
Address: Reg. No.
FEE SCHEDULE- BULDING PERMIT. $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COSTBASED ONTJ OOPER&F.
Total Project Cost: $ -7
4��49 �d
FEE: $ T
Check No.: Lf r3-
NOTE: Personsw Receipt No.:
contra ng r retractors do not have acc ar n fund
St `nature of AgentlC)wner
nature
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