HomeMy WebLinkAboutMiscellaneous - 981 JOHNSON STREET 4/30/2018 (2)Date... ..��..G.` .....
p p TOWN OF NORTANDOVER
r t . PERMIT FOR GAS NSTALLATION
• o +
ACMUSES
This certifies that .Se -,?i.9 � .c �c� .............
has permission for gas installation ...G+L. ' 4�' ........
in the buildings of ..4+t S. /'40/
........................
at .... l... ��c t. .............. North -Andover, Mass.
Fee.d.-) ... Lic. No../?.Y.2/.. .....
GAS INSPECTOR
Check #
J
550
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
:;
KI aln 6,v -e -t— . Mass. Date MIQ Permit # Jf"
Building Location 1 nSa^ S+ Owner's Name A
Type of Occupancy r
New 2r/ Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑
Installing Company
Address AY5 l(
CC k one:
W Corporation
❑ . Partnership
Certificate
Business Telephone—)^i61 ` 6 LA u - -4 ) 1 1 ❑ Firm/Co.
Name of Ucensed Plumber or Gas Fitter k'nl A 1OCa- C f o --
INSURANCE COVERAGE:
I have a current ility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes 0 No ❑
If you have.checked yes. please I tate the type coverage by checking the appropriate box.
dY
A liability insurance policy Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Owner❑ Agent ❑
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted (or entered) in above applicati are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under the permit issued for thi . plication will be in compliance with all
pertinent provisions of the Massachusetts State.Gas Code and Chapter 142 of the Ge I
gy TvPofsLuicense:r a u d lumber or Gas fitter
Title rZa
License NumberCity/Town man
APOP040--WrI USE ONLA
V
a
ffAM4!j4.1E
mom
UM
MONSOON
mom
i 3RD FLOOR
ME
MENNEN
No
Mi
mom
INNEEM
somosomom
GM=M
MEN
EM
-NOME
IMEMMIMEMMENIMEM
Installing Company
Address AY5 l(
CC k one:
W Corporation
❑ . Partnership
Certificate
Business Telephone—)^i61 ` 6 LA u - -4 ) 1 1 ❑ Firm/Co.
Name of Ucensed Plumber or Gas Fitter k'nl A 1OCa- C f o --
INSURANCE COVERAGE:
I have a current ility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes 0 No ❑
If you have.checked yes. please I tate the type coverage by checking the appropriate box.
dY
A liability insurance policy Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Owner❑ Agent ❑
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted (or entered) in above applicati are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under the permit issued for thi . plication will be in compliance with all
pertinent provisions of the Massachusetts State.Gas Code and Chapter 142 of the Ge I
gy TvPofsLuicense:r a u d lumber or Gas fitter
Title rZa
License NumberCity/Town man
APOP040--WrI USE ONLA
V
Date. . �.
TOWN F NORTH ANDOV
P MIT FOR PLU ING
f ♦ _ i
i i : •
�y ,SSACMUSE�
This certifies that ..t:. T V�7�
............. .
has permission to perform ....%. ..
plumbing in the buildings of .. !.��J.`.....................
at .. c`f11...� .. J. - ................ . North Andover, Mass.
Fee .10` ..... Lic. No. P Y ? .'.. ........, . ...... .
I PLUMBING INSPECTOR
Check * l /'()'-
6973
`()
6973
`MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type) .
oP4, cJOy c Mass. Date c� WjPermit # %3
— Building L.ocatlon � U � ' �(�h�San Owners Name G—
Type of Occupanry,
New ❑ Renovation O Replacement Plans Submitted: Yes O No O
1i
FIXTURES
installing Company
I's
Business Telephone )'K ( -
Names of Licensed Plumber _ YYl (&G, , C
Ctm�xk one:.
/Corporation
.O Partnership
O hrm/Co.
Certificate
INSURANCE CO GE:
I have a current I pity insurance polity or its substantial equivalent which meets the requirements of MGL Ch. 142:
Yes No O
If you have checked yg, please h1leite the type coverage by checking the appropriate box
A liability Insurance policy tJ"' Other type of Indemnity ❑ Bond O
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by
Chapter 142 of the Mass. General taws, and that my signature on this permit application waives this requirement.
Check one:
onature of Owner or Owner's Anent Owner O Agent ❑
I hereby certify that all of the details and information 1 have submdtW (or
knowledge and that all plumbing work and installations pert a
pertinent provisions of the Massachusetts State Plumbing
By.
Title g e
et
iin above application are true and accurate to the best of my
nit issued for this application will be in compliance with all
of the General taws.
Type of License: Master �` Journeyman ❑
City/Town �c,2 y
L License Number %/
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SUB—BSMT.
BASEMENT
IST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
STH FLOOR
installing Company
I's
Business Telephone )'K ( -
Names of Licensed Plumber _ YYl (&G, , C
Ctm�xk one:.
/Corporation
.O Partnership
O hrm/Co.
Certificate
INSURANCE CO GE:
I have a current I pity insurance polity or its substantial equivalent which meets the requirements of MGL Ch. 142:
Yes No O
If you have checked yg, please h1leite the type coverage by checking the appropriate box
A liability Insurance policy tJ"' Other type of Indemnity ❑ Bond O
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by
Chapter 142 of the Mass. General taws, and that my signature on this permit application waives this requirement.
Check one:
onature of Owner or Owner's Anent Owner O Agent ❑
I hereby certify that all of the details and information 1 have submdtW (or
knowledge and that all plumbing work and installations pert a
pertinent provisions of the Massachusetts State Plumbing
By.
Title g e
et
iin above application are true and accurate to the best of my
nit issued for this application will be in compliance with all
of the General taws.
Type of License: Master �` Journeyman ❑
City/Town �c,2 y
L License Number %/
V
M
Date.................... ................
TOWN OF NORTH ANDOVER
PERMIT, FOR WIRING
This certifies that..................:c.a...............................................
has permission to perform.....................�r,rr..�.............
wiring in the building of ..-�..............................................
v
�' .. North Andover Mass.
Fee ............... Lic. NONA-
........... ................................
ELECTRICAL INSPE iv
Check #
67"1 1
•
l
Commonwealth of Massachusetts
Department of Fire Services Permit '`.'u
1 )rrci;ll I :.0 ( )nlN
0!� 7//
OCcupanc% and Fee Checked_
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9 05] le lie g,I
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
\II %%ork to he hertornlcd in,ICu)rdanCe with the %1:11,MlC•I1LISC(tS FIC01-ic.11 Curie (\IF.C). i?" AIR I'.til)
li'LE.ISE PRL%T1.�.INK O)R TYPE, ILL 1AFO)RJ/.ITlo,%') Date: ! , 0(11
Civ or Town of: A�I w /�,iDoyer To lilt 1-1.speclu • u U`ires.
BY this application Che lllldtl'SI-IICd oIveS IlUfll't' llt 1115 or I1Cr IIIICIIhllll tt) Pfffo l-ln the electrical work descrihed bCluw.
Location (Street & Number) 98 ❑ Gj,uj o,,/ si�,Ye
Owner or Tenant (-i^41-x !qa r -A 4 t f e S- f ep -q Telephone No.
Owner's Address S4 M P
Is this permit in conjunction with a buildi g permit? Yes A No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service 0c) Anips Ido ! c9ga Volts Overhead Undgrd ❑ No. of deters /
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: lUccJ (fe.,7ac1ce A X', 4f,v
No. of Recessed Luminaires/O
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires 3
In-
Swimming! Pool ,above E] In-
JrnJ. Vrrid.
, o. o Emergency Lighting
BattCry U lits --
q FIRE ALARMS F0. of Zones
No. of Receptacle Outlets
No. of Oil Burners
No. of Switches %
No. of Gas Burners
iNo. of Detection and
ll initiating Devices
No. of Ranges
Tota11
No. of Air Cond. No. of Alerting Devices
No. of Waste Disposers
Heat Pump
Totals:
Number
Tons
KW No. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers /
Space/Area Heating KW Local ❑ Municipal ❑ Other
Connection
No. of Dryers
Heating Appliances KW
_
Security Systems:*
No. of Devices or Equivalent
No. of Water KW
Heaters
No. of No. of
__ Si ns Ballasts
Data Wiring:
No. of Devices or Equivalent______
No. Hydromassage Bathtubs
No. of Motors Total HP
_
telecommunications Wiring:
No. ul' Devices or E uiv alent
O FHER:
�• tyV .tllu-'ilrnl.lNfUl7[l.,tri.lu!(.h^;;;(�.•,l',Id)'�',)!!N'Cil �'',F l)c lli?�.t
` F.,Aimated f E Value olec rival Work: �,2 SOV . 1 \� hen required by municipal policy.)
\bark to Start: 6 S 0 (, In:,pcctiuns to be requested in accordance h EIEC Rule 10, and upon completion.
INSLRANCE COVERAGE: RACE: C.nless waived by the owner. no permit for the performance ofclectrical work mat i• -AIC unlc,
the licensee Provides tlroofof liahility insurance includin-, "'_,onlpleted ))peration" covera'te or its ,l.lbr,tantial'quk"llcnt. ' h.
uder:,i.nC),I satirise that such cukCra"•e i:. in hl-cc,:nld ha, c".hihitcd proof of ;axle to rile t'crnlit i�tlin', office.
r'III:a_KO�,L:: Ii�SI R,\�l'i� � I)l;�.l) �� I)fF!I R ❑ I'ipCcily:)
'.'1)// 'hE' lt) !li'')la1J�411 )1 . %1/J' ) )l' + /.•/
• .�" 1 ,� / it 1 I • ,f :/./ /cuJiun ,.� ;!•uc' 'lr r/ r'N a). c.
:'9RtiI N:1,blF: lJ.f x,- tT�iG c
?_iL'rllSee: i"
._1c. yc3.:.41y33 3
i%as. TO. ,'o.: l / 626X
Address: -U,j1C s� E
Security : y,tcm Contractor 1Jcen,:e ra.luircd tin' thiS if uppliUNC. CntCr 111C liCcnse lltlillber 1XIV
tDbti.NER'S INSUR, VNCE A,kIVER: I am aw: re that i le I.i;cn:-eC / ,. ma huvc file iiabilit, insw,IIICC 1: r : I C 11 rill;,IIL ._.
required by law. By my .i nature below. I hcrChy '.vaivC this, requirulunt. I .un the (,_heck )lie) ❑ .;caner ❑ u�� Iger':, .e_,: nt.
Commonwealth of Massachusetts IrrLi..I t ()111\
Department of Fire Services
Occuranc% and Fre C hcckrd S —
BOARD OF FIRE PREVENTION REGULATIONS
_ :Irav� L•Iankr
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
�II'�,nk t+l i,r 1 �rtornlrJ ill.truuJ:ulc� t�ilh the \I;I»arLu rm I Icctrie.11 Cu lr!�II:C1. 5'_- 'vIR 1'_.x;0
!'L E. ISE PR L% ['/,N l.\k OR TYPE. ILL L1FO)RJI.ITION Date: � S o6
C'ihr or Town of: S/-tg 4' over To /he hispeo.-/u • o [Vires:
13y this ,Ipplic:Uiun the unJersi,ned -i�cs Itunce of his ur hrr intcntiun to Pcrti
Location 75? ` ac Cjx,) 47Y
No. "Date 9I / 4S
NaRTh
Q
TOWN OF NORTH ANDOVEN
1 n
Certificate of Occupancy $ 8
Building/Frame Permit Fee $
.}0
�sswcMusE<
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ g
Building Inspector
Div. Public Works
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No.
Date J '. a r- - - ='
NORTq TOWN OF NORTH ANDOVER
O'�t�ao
.• 100
i? •... �
n Certificate of Occupancy
$ ' �•
+
; Building/Frame Permit Fee
$
+ss try Foundation Permit Fee
�cMuS
$
P!�� ther Permit Fee
$ -
- Sewer Connection Fee
$
Water Connection Fee
$
TATAL
Building
Inspector
Div. Public Works
PE&JtIT NO._�d bT - AMICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
/PAGE 1
MAP KJO.
LOT NO.
I
2 RECORD OF OWNERSHIP IDATE
BOOK PAGE
:
ZONE
SUB DIV. LOT NO.
7I
LOCATION %gI JokW,(r. e,+.
fJ,-A.y c�*ve /M A
PURPOSE OF BUILDING y
OWNER'S NAME pawl Mei
F -VW?
NO. OF STORIES Z SIZE
OWNER'S ADDRESS981 1&1 _ NSv�
✓1W
�� ��� � _i�
Q
ASEMENT OR SLAB
ARCHITECT'S NAME �Qi�1G
SIZE OF FLOOR TIMBERS IST 2 v. (D 2ND 3RD
BUILDER'S NAME PCl,,,, E>,i !j
�l�'lyNra,
SPAN
DISTANCE TO NEAREST BUILDING 3 j!�aJaw;,4 � �
DIMENSIONS OF SILLS
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES - SIDES
REAR
GIRDERS
AREA OF LOT
FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING X
IS BUILDING ADDITION
MATERIAL OF CHIMNEY
IS BUILDING LTERATIONplaGG (I:IINOAliA� G',eA 4INC"13
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE I fl V11Sin
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
r om ;,,4
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
U S & INSTRUCTIONS
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
d PAGE 2 FILL OUT SECTIONS 1 - 12
' ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
I
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED ANDpAPPPROVED BY BUILDING INSPECTOR
DATE/FILED t.7
SIGNATURE OF WNER OR AUTHORIZED T
FEE a"
PERMIT GRANTED - I7 a OVVNER TEL. #
CONTR. TEL.
19 CONIR. LIG it p3l> `a74•
I"40� lvN�o1�0�/
a591
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST �►' iJ00 ��'
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
O
BOARD OF SELECTMEN
1
421��
BUILDING INSPECTOR
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY
STORIES
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION—I
8 INTERIOR FINISH
CONCRETE
PINE
3
t
2 I3
CONCRETE BL K.
BRICK OR STONE
HARDw D
PIERS
PIASTER
DRY WALL
_
_
UNFIN.
3 BASEMENT
AREA FULL
FIN. B M TAREA
1/4 '/t '/,
FIN. ATTIC AREA
_
NO B M
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
_
4 WALLS I 9 FLOORS
CLAPBOARDS
B
_
1
2
3
_
_
_
DROP SIDING
CONCRETE
WOOD SHINGLES
EARTH
ASPHALT SIDING
ASBESTOS SIDING
HARD"�'D
COMtdCN
VERT. SIDING
_
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
_
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. b FLOOR I_
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR I� POOR _
ADEQUATE NONE
10 PLUMBING
5 ROOF
GABLE
GAMBREL
HIP
BATH 13 FIX.)
MANSARD
TOILET RM. 12 FIX.)
_
FLAT
SHED
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
_
_
ROLL ROOFING
MODERN FIXTURES
_
TILE FLOOR
TILE DADO
6 FRAMING
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM
STEEL BMS. & COLS.
HOT W'T'R OR VAPOR
WOOD RAFTERS
_
AIR CONDITIONING
_
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
GAS
OIL
ELECTRIC
B'M'T 2nd
_
3rd
NO HEATING
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
J \
a
1st �
i
/ �Design Build
Design Build Solutions, Inc.
Three Baldwin Green
Woburn, MA 01801
(617)932-1180
FAX (617)932-1174
MA License 101865
Purchase Agreement
Name: Paul and Meg Rokos
Address: 9 S 1 Johnson Street, North Andover, MA 01845
Phone: (508) 689-4550
Mailing Address: Same
Work Description:
1. We will furnish and install in a workmanlike manner the
remodeling project according to the conceptual plans, project
specifications and terms and conditions attached and dated.
December 30, 1992.
2. Subject to Addendum "A" made part of this agreement.
3. Includes reduction in the price listed below in the
amount of $595.00 for the original design fee.
4. The final price listed below will change based'on the
final scope of work determined at the pre -construction meeting
and will be adjusted by change order outlining additions and
deletions.
5. We will begin work on or about February 1, 1993. Barring
delays beyond our control we will be completed by March 15, 1993.
You agree that these scheduling dates are approximate and that
such delays that are not avoidable by us shall not be considered
violations of this agreement.
6. Includes reduction in the price listed below in the
amount of $1,163.09 for winter build program.
Cash Price: $8,000.00
This agreement supersedes all conversations, statements, and agreements expressed or
implied b een' a parties, their agents and representatives.
ayLd
are to a made as work progresses according to the Payment Schedule attached
and t of thi agreement.
Hor. Do of sign this agreement if there are any blank spaces.
�C ��2_ T�
Owner
Owner
�o
William C. Penny, President, Design Build/S ons, Inc.
Date
Zf d/9L
Date
/L, 30-9
Date
10
f
roject Description
Rokos
December 30, 1992
Page 2 of 2 f
---------------------------------
8. Relocate dishwasher to other side of sink using existing
cabinetry.
9. Remove all construction debris. `
10. Includes permit application, permit fees, (2) hours of
additional design time and all required construction drawings.
11. Does not include interior or exterior paint or carpet.
ject Description
& ,_ _ -
December 30, 199
Page 1 of 2------------------
1. Renovate existing family room as per conceptual drawings
dated
December 30, 1992, including removal of all aluminum
doors and octagon window, removal of wall between itcheg��and
family room and support with load carrying
removal of existing electric heat, and removal of plaster as
ation of new win
required for new doors and windows, instoglhardboard clapboard
ws
and doors as specified below, patching
doors and windows, installation of
siding as required for new
n in anR-19
R-13 fiberglass insulatio
blueboardwalls with skim-coatfplasterson all new
insulation in ,
wall areas, installation of FHW baseboard heat off existing
floor zone, and all g and finish
colonialg
system and first
2 1/2" colonial door and window casing
baseboard.
2. Install (2)
Andersen Frenchwood FWG6068 sliding glass doors
with low E tempered glass and wood grilles.
3. Install (3) Andersen C25 high performance casement windows
with low E glass and Tycote grilles.
4. Install (1) Andersen CTC2 high performance circle top window
with low E glass and Tycote grille.
5. Install (2) Andersen CR15 high performance casement windows
with Tycote grilles, low E glass and screens.
6. Install peninsula/breakfast bar cabinets as per cabinet
w od lan
to match existing with step down laminate countertop
withedge. Remove existing countertop and sink, and install new
laminate countertop with wood edge and reset existing sink and
faucet. Install Dal -Tile 4x4 ceramic tile backsplash behind new
countertops.
sement
6. Construct office below family room in
Decemberexisting 30, 1992, including space
including2x4
as per conceptual drawings blueboard
wall construction, R-13 fiberglass wall insulation,
with skim -coat plaster, FHW baseboard heat off existing basement
zone, trim (1) window and (2) doors with 2 1/2" colonial casing
and install 3 1/2" colonial baseboard.
7. Install electrical in office to include (4) outlets, (1)
telephone outlet, (4) Halo 75 watt recessed downlight with dimmer
mmer in
in office, (4) Halo 75 watt recessed downlights with d(1)eclient
kitchen, installation of (4) client supplied sconces,
supplied ceiling fan,
(2) client supplied hanging fixtures and
relocation of all wiring in disturbed walls and ceilings.
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030-574
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FORM U - IAT RELEASE FORM
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INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: R"F O os Phone &,??-
LOCATION: Assessor's Map Number Parcel
Subdivision
Street
Lot (s)
St. Number
************************Official use only************************
RECOMMENDATIONS OF TOWN AGENTS:
Conservation Administrator
Comments
Town Planner
Comments
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Health Agent Date Rejected
Comments
Public Works - sewer/water connections
- driveway permit
Fire Department'
Received by Building Inspector Date
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