HomeMy WebLinkAboutBuilding Permit #Exception - 58 GLENWOOD STREET 10/16/2006 ' 1
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TOWN OF NORTH ANDOVER NORTH
APPLICATION FOR PLAN EXAMINATION �f<•�`O •�'t'o
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Permit NO: Date Received �Q IL
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Date Issued: ,SSACHU
IMPORTANT: Applicant must complete all items on this page
LOCATION ss 1 C'W'V---CJ S I N- A n��/e✓
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PROPERTY OWNER o 5!S e. L,V
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MAP NO.: PARCEL: ZONING DISTRICT:
TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building G One family
❑ Addition ❑Two or more family ❑ Industrial
Alteration No.of units:
Repair, replacement ❑ Assessory Bldg ❑Commercial
Demolition
Moving(relocation) ❑ Other ❑ Others:
Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
Iden tcation Please Type or Pri Clearly) USD q
OWNER: Name: A Phone:
Address: (I<A w Lr� S`f N. (��,���✓{� '
CONTRACTOR Name: Phone:
,kddress:
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITEC"TiENGINEER Name: Phone:
address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.,512.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost :$ FEE:$ -5�-6
Check No.: Receipt No.:
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