HomeMy WebLinkAboutApplication - 56 BEVERLY STREET 5/12/2015 BUILDING PERMIT �ORTN q'
TOWN OF NORTH ANDOVER -
APPLICATION FOR PLAN EXAMINA I
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Permit No#: Date Received 7RA°R TED
Date Issued: (YARD OF APPEALS �SSHClIU`'��
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
3 New Building ❑ One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
[9 Repair, replacement ®Assessory Bldg C A R n G 6 ❑ Others:
❑ Demolition ❑ Other
❑ Septic 1Nell ' , r ❑Flood pla tn 0 Wetlands ❑ Watershed District
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DESCRIPTION OF WORK TO BE PERFORMED:
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Identification.- Please Type or Print Clearly PRE e) 7 7 y a t 8-_S-c 78
OWNER: Name: 1-f'Cye-ry B. F 7-91cij4 Iq TEYZ0GHE)2 Phone(t/) 77a -as8-a779
Address: 'BEY6rZ1- STREET IVOP,rh )q/V-PoVEk In el
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925,00 PER S.F.
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Total Project Cost: $ 5-0,00o FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner f -Signature of contractor