HomeMy WebLinkAboutBuilding Permit #156-2011 - Dogwood Circle-Bldg 18 Units 1801,1802,1803, 1804, 1805, 1806 8/23/2010 (2) BUILDING PERMIT of No pTK qti
TOWN OF NORTH ANDOVERb`t. •,,6=6 0
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APPLICATION FOR.PLAN EXAMINATION '' p
'ermit NO:
Date Received
..11
Date Issued:,ja SSgcHus��
IMPORTANT Applicant must complete all items on this page
LCATION 1 C r
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P,ROPERTYO]IUNER
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MAP21� �� GP4RCEL u`�� �� ZONI.NGkD1STRICT ` Historic District � h s "
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
ew Building One family . .
Addition �wo or more family Industrial
Alteration No, of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
Y Septic W,el) F S x k Floodplain 1Netlands Watershed District
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DESCRIPTION OF WORK TO BE PREFORMED:
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Identification Please Type or Print Clearly) . .
OWNER: Name: ®! �" ►� b; a Phone: 01`7 F, — C, 61— GS Le
Address I
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TRTName ► Ph } s
i Y` .i f � 1 3 } �`tt�'tlress5tt. � � .� P � } t.+Es .-- �� k r5 _pervisor's Construction License _
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-,,kome.lmpro�ernent License _ - 4--' -a 5
ARCHITECT/ENGINEER _'amu, Ate,, _ Phone: ;
c� t � �# 'i l t "Aram
Address: (aJ� c�,.� e � c o 4— Reg. No. 90 %5
FEE SCHEDULE:BULDING PERMIT.•$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Cost: ua, opo FEE: $_
Check No.: Receipt No.:
NOTE: Persons contracting wi h unregistered-contractors do not have acces he guaranty fund
Signature of AgentY.Owne 9 -
Si nature ofi contractor F: T
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