HomeMy WebLinkAboutMiscellaneous - 100 ANDOVER BY-PASS 4/30/2018 (8)MAY -04-2010 TUE 05:41 PM MESITI DEVELOPMENT FAX NO, 1 978 557 8160 P. 02
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TYPE OF IMPROVEMENT
PROPOSED USE
OWNER: Name:
Residential
Non- Residentlal
New Building
One family
Addition _
Two or more family
Industrial
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Alteration
No. of units:
Commercial
Repair, replacement
Assessory Bldg
Others:
Demolition
Other
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OWNER: Name:
Phone:
- Address.
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ARCHITECT/ENGINEER RAno-4-- -". J— Phone: cPn3 r6
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Address: 03 �t. 4 -a 1 14—'Reg. No. O 85
FEE SCHEDULE auLD/N0 PEWT: $12.00 PER $1000.00 OF ME TOTAL ESMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ 6?, C FEE: $ 3 L9 • 0U
Check No.: Af/ 7 Receipt No.: �Zfw*-
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Sgnature'of.AgeriiYOwner � r ' •�
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Location 109
7-r Date 5
No.
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TOWN OF NORTH ANDOVER
Check # 1p %
LLlJJ
Building Inspector
s
Certificate of Occupancy
$
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Building/Frame Permit Fee
$ 3
Foundation Permit Fee
$
Other Permit Fee
$
TOTAL
$
Check # 1p %
LLlJJ
Building Inspector