HomeMy WebLinkAboutMiscellaneous - 93 ROCKY BROOK ROAD 4/30/2018 (12)Permit NO:
Date Issued: 1117H I Y
LOCATION
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BUILDING PERMIT �° ~
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APPLICATION FOR PLAN EXAMINATION 4
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Date Received
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TYPE OF IMPROVEMENT
PROPOSED USE
Resig@ntial
Non- Residential
❑ New Building
One family
❑ odition
❑ Two or more family
❑ Industrial
ig/Alteration
No. of units:
❑ Commercial
❑ Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ emolition
❑ Other
❑,Well
: ❑flFloodplan C Weflands
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ater/SewerF.
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OWNER: Name:`vl 1ek
Address: i3 eQv
CONTRACTOR Name
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Address: _IM
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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 ON $125.00 PER S.F.
Total Project Cost: $, UUCP FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with nregistered contractors do not have access to the guar=6fund