HomeMy WebLinkAboutBuilding Permit #580-11 - 93 JOHNSON STREET 3/1/2011 Feb. 15, 2011 2: 07PM No. 1938 P. 2
TOWN OF NORTH ANDOVER,
APPLICATION FOR PLAN EXAMINATION
Permit NO• bate Deceived
Date Issued: '
EMMU0R TAA NT:A lieant must complete all items on this page
LOCATIO' i��I(1 ir1E`;OYI S-vire u _
Punt •
-PROPERTY 0 P, )I 5Q4 /X3+1 OL
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MAP NO; PARCEL: ZON7NO DZSTPJCT; Historic District yes o
Machine.Shop,Village yes
FRAddifloh
IMPROVEMENT PROPOS)=D USE
Residentlal Non-Residential
ilding One family
❑Two or more family ❑Indusfrlal
n No. of units; ❑Commercial
11 Repair, replacement ❑Assessory Bldg ❑ Others;
❑Demolition ❑Other
DESCRIPTION OF WORK.TO BE PE"ORNM.-
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xdentifcat�on 3'lease'�oorPrintClearT�)
OwN�.R: 09 q
Address; �` ��Oft a R_Lt, i
CONTRACTOR Name: h.t Oro-
Address V>f(�fXdlYl �tAYG� Q_ 7
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Supervisor's Comruction-License: Exp. Data:
Home Improvement License: 1136255 Exp. Date:
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ARCHITECT/ENGINEER 1' ob 8t- nJAa l 0 . Phone; ` 74c1 '
s3G(p 3
Address: - 1-7 -PO-41-K- S YpQ f.,[3ndzvw. M 12 Reg. No.
F'EESCHEDULE,)3ULdING PERMIr;$92.00 RrR$9000.00 OF THE TOTAL EST/MATED COST OASEU ON$'923.00 PER S F.
Total Project Cost; $ 113 ol,W&I , 33, ., FEE: $ �l
Check No.; ,�3Receipt No.;
NOTF,: Persons contracting wi i nreghter'ed contractors do not have access to the guaranty,fund
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