HomeMy WebLinkAboutBuilding Permit #624-2017 - 85 LACONIA CIRCLE 12/8/2016TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
lew Building
-a0bne family
❑ Addition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
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❑ Watef`ISewer
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OWNER: Name:
Address:
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Supervisor's Construction Icense ' ffi
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'Home fimprovement license.
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ARCHITECT/ENGINEER Phone:
Address: Reg. No. '
FEE SCHEDULE: SULDING PERMIT: $12.00$1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S. F.
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Total Project Cost: $A 10 FEE: $ / 47�-'-
Check No.:_ V /(( Receipt No.: - --3 131S
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund