HomeMy WebLinkAboutBuilding Permit #1144-2016 - 64 FOXHILL ROAD 5/3/2016 4 1,P
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued: S CHU
'IMPORTANT: Applicant must complete all items on this page
-.0. ' - g " gy n-i" e
Ng Mimi 12 - g
M-2-C1,8111A VS Qz
N R -419151- 10-a-URK'N' T
11U.' 1—MOW- W
UU&K
He 21 Sm- 1 V
a
91
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building 11 One family
El Addition Fj Two or more family El Industrial
D Alteration No. of units: El Commercial
D Repair, replacement 0 Assessory Bldg El Others:
0 Demolition '90ther D00(�
�' '-MIN 't
;amp mimpt'
M M
ma
--(-I t4 S px�- v4=C-1t. A-&0 P0 0 t-k 4F L-.-,
r-A-CIV .
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Address:
NMI
N
PR
W41 -k-4
I WL I'M
15
I -
h
M P-94
ARCH ITECT/ENGIN EER 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: $ CMZ # cj3 FEE: $ 0
Check No.: I �10 Receipt No.: F)6 3 1-1
NOTE: Persons contractin with unregistered contractors do not have access to rantyfund
!
IN W ,01