18 ALBION ST - BPA-08-82 2ND FL PORCH REPAIR _ GITY-OFJALEX -
- PUBLIC PROPERTY
DEPARTMENT
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�" # T EL•MUS-95"•FA7C 97L740.9046
APPLICATION FOR THE REPAIR RENOVATr N CONSTRUCTIONS
D_EMOLITION, OR CHANGE OF USE OR OCCLrpArtr�y, FOR ANY EXISTING
STRUCTURZ OR BUILDWG
1.0 SITE INFORMATION
Locatlon Name: 13uikft
Propeny Address:- - - -
D
Property Is located In a:Conservation Area Y/N Historic DisMct Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name:
Address:
Telephone:
3.0 COMPLETE THIS SECTION FOR WORK IN EYutTrma BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year. of Area per floor (sf) Renovated
construction or renovation I
of existing building New
Brief Description of Proposed Work:
hCf
— Mail Permit to: __ c�� t 0 �✓� y r — '/-7t� �� _ . —. -
I
What is the current use of th'Ie Building?
Material of Budding? �'10vGf ri2rl�r P it dwelling.taw many
"Ill the Buibitq
Contorm to Law? Asbestos?
Architects Name ( )
Address and Plane
Mechenlo's Name dA V
Address and Plane C I
HIC Registration 0
Constnrckm SuPsrvisom Liconre
permY FeeCalwlelbn
Estimated Cost of Projed S
Perms Fes i r& 3 0 40 0 Estimated Coe S7/51000 Residential
- Esti hated Cost X Si v$1000 commercial,—
An Additional".00 Is added as en
Administrable
duwgs-
make sure that all flelds are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Suilding�permit to build to the above stated
iflc
specatlww. Signed under penalty.of PwJurY '
[ Date �
I
O� N
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