HomeMy WebLinkAboutMiscellaneous - 410 FOSTER STREET 4/30/2018 410 FOSTER STREET
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9UILDING PERMIT 0 OORTFi
TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received p,04AT�SSED
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Date Issued:.I IMPORTANT:Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential
New Building One family
Addition Two or more family
Alteration No. of units:
Repair, replacement Assessory Bldg
Demolition Other
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DESCRIPTION OF WORK TO BE PRI
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Address: & '0;�47 -4LI
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED 0 $125.00PERS.F.
Total Project Cost: $ --FEE:
Check No.: Receipt No.:
NOTE: Persons contracting with un egistered contractors do not have acce s to thegy my fun
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