HomeMy WebLinkAboutBuilding Permit #507-2016 - 49 FERNWOOD STREET 10/22/2015�S"e'A.vw .0 1612-211_r
Permit NO:97
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BUILDING PERMIT •
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TOWN OF NORTH ANDOVER so
APPLICATION FOR PLAN EXAMINATION
Date Received
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Date Issued:
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RTANT:Applicant must complete all items on this page
LOCATION 7`1 S
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PROPERTY OWNERqP1'tN Lit(' ILrl l
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MAP NO: PARCEL: ZONING DISTRICT: Historic District ye no
-- Machine Shop Viliaae ire no .
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
ne family
0 Addition
Two or more family
0 Industrial
Iteration
No. of units:
0 Commercial
❑ Repair, replacement
0 Assessory Bldg
0 Others:
0 Demolition
0 Other
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£Floodplain i Wetlands
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0 Wateri/Sewed;
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OWNER: Name:
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Identification Please Type or Print Clearly) 070
vvy 66na(d!` Phone: ay- 1/,Oq
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:� FEE: $
Check No..- I (o O Receipt No.:2-ri5co
NOTE: Persons contract ng ith u registere ontractors do not have access to the guaranty fund
nature of Agent/Owner _ _ Siqnature of contractor