HomeMy WebLinkAboutBuilding Permit #623-15 - Exception 1/23/2015V
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit No#: Date Received
Date! Issued:—
MPOIRSANT: Applicant must coMplete.,all items on this page
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TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
D One family
D Addition
0 Two or more family
11 Industrial
0 Alteration
No. of units:
D commercial
0 Repair, replacement
0 Assessory Bldg
0 Others:
D Demolition—
0 Other
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Identification - Please Type or Print Clearly'
OWNER: Name: Phone:
Address:
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ARCHITECT/ENGINEER — Phone:
Address: Reg. No.
FEE SCHEDULE. BULDING PERMIT: MOO PER $1000-00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ FEE: $
Check Nb.: Receipt No.: the t
NOTE: - Persons contracting with, unregistered contractors do not have cess to
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