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HomeMy WebLinkAboutBuilding Permit #733-15 - 87 GLENNCREST DRIVE 3/24/2015Permit NO: Date I BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Date Received IMPORTANT: A LOCATION e7 G SIy( must complete all items on this 5 ! 0A rnrn PROPERTY OWNER DO n&A M Print MAP NO: PARCEL: 695 -5 --'ZONING DISTRICT: Historic District yesrtn Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Com ial ❑ Repair, replacement ❑ Assessory Bldg thers: ❑ Demolition ❑ Other Septic L Well ❑ Floodplain ❑ Wetlands Watershed District J Water/Sewer OWNER: Name. Address: K//Yyl, 9-/ IV -0 - 4 Identification Please � ! Typee�or Print Clearly) > CZ o�P4-- Qt 1e— Phone: 7✓lIV CONTRACTOR Name: ,�yaml, Address: /k,-Otf / P 9 %- 0/9-70 Supervisor's Construction License: Exp. Date: Home Improvement License: /� �� Exp. Date: 1/—� ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDINGG PERMIT.- $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ O, l�©� FEE: $ 16.b--0 Check No.: Receipt No.: 2.2�5 NOTE: Persons contracting with unregistered contractors do not have access to the guarzd ature of Agent/Owner Signature I