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HomeMy WebLinkAboutBuilding Permit #Exception - 92 BRIDGES LANE 5/1/2018 (2) Michael Livingston Production Department Manager NORTk BUILDIIQ���UEn r6�'VQ TOWN OF Nt mlivingston@blackdogbuilders.com s _ 0� I ph:603.898.0868 APPLICATION FOP,, c: 603.234.0594 1 _ l fx: 603.898.0821 « ' lit NO: Rq µ� 7 Red Roof Lane,Unit 1 �SSgCHU`+�� Salem,NH 03079 DESIGN Issued: IMPORTANT Applicant xn www.blackdogbuilders.com REMODEL aYS *f ! �{ �, et^a J s �St'f.� sem° aY x'�' .."4 •.i ^� �•,•%'t tY" s q'!� .'� h' k aA r v P�Int _ a y )PERaTY OWNER t4 / l. ls` i . P,' Ra � � mei `- �. 'G 4 n .1 � t., '°"g''".� ""7't"q ,! t 4} > PARCEL �LONIN_.,G ©ISTRIC"T Hlstonc District }r yes ShopdU I a9e�� yes �n E OF IMPROVEMENT PROPOSED USE Residential Non- Residential 4ew Building XOne family kddition ❑Two or more family ❑ Industrial k1teration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: )emolltlon ❑ Other �eptic ®iWel �; lo�pia nit ❑�VVetlands *, YID WatersDlstnct r�'• Nater/SeWer�' � '�' � �= �X `..' 'K Y r 2�X:may `_+ t •� DF� CRIPTION OF WOR O B PREFORMED_ Z�x ZO'-4$ �dGa I'u� og leC1�e -r Identification Please Type or Print Clearly) NER: Name: %t� �✓/S Phone: J Iress: �r'�c� L412G r" �,`.k T F t �;. ii Rk. OR Name Pwlo- ,: ."g -roe � -ter .'7 /je ti t r r C3 4.`�1v.�tf 74 S Iress , i�1,,v Ltt ti ' ,�nf' �. � � .A.r+�-a.�.+1,.4 4. ' t. M t J r � a � 2.-• y aK•. �r• ��1 . /� �!, ,��`y,� ►ervisor's,Construction License ; �. :G��} � ExpoDafe , rF41 t y r Lns e iy ..--.tv.e�,�-.. /�J+II C s ° it ( r" o'.�'' /7 ��j)� S nelm rovement License.. .. �. _..�.��.,. �.,��..., �.,� .�:�.,� Exp��LD to �HITECT/ENGINEER Phone: Iress: Reg. No. i FEE SCHEDULE.BULDING PERMIT:$92.00 PER$$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. all Project Cost: $ q ) 795° 3�7 FEE: $ ick No.: Receipt No.: TE: Persons contracting with unregistered contractors do not have access to the gua an fu d +�o �ifdrianf�/nwn r �c�� : �ndre �:; Slgriature