13 ANDREW ST - BPA-07-1110 WINDOWS What is the curtsnt use of the Building? Y��`JI�Dn(2� —
• Material of Building? It dwelW%how many units? k —
WIN Ote Building Conform to Lawn
Asbestos?
Arahitecl's Name 1 -
Addrm and Ptw w
Meoha Ws Name
Address and Phone H�Regbtra0on _�
Construction supervisors Licanse s --
Eatimated Cost at project .00 Perm Fee Cmwumdon
Permit Fee Estimated Cost X$71:1000 Residential
Esyrnated Cost X 51 V$1000 CammercW----
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/ An Additional$5.00 is added as an
AdminlabsWe charges
Make au.tturt an tlelds am properly and legibly wdn°n w avoid delays in processing.
The undersigned does hereby apply tar a Building Pw"to build to the above��
speci0eatlons. signed under penalty of 1;04urY
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PUBLIC PROPERTY
DEPARTNL MNT //1 M1 '
Npirer a�rpA6fy71y f
N roe 130 WAL MMM STMU 0 SuuK.MAZACLSWn 01070
11L MUSA$"0 F*x V&7464N0
APPLICATION FOR THZ REPAIR. REMy A,,rwj%w coNmucno ,
DZMOLITION. OR CHANGE OF USE OR OCCU*!NCV, FOR ANY K29-33 VG
STRUCTURE OR BUII.DING
1.6 SITE INFORMATION
Location Nsrw &dwkw
1 ,3
3 And reuv St aiem
Property in loafed in a:CalseMOM Mee Y/N Hletorb obirid YIN
2.0 OWNERSHIP INFORMATION
Z.1 Owner of Land
Name: =7 —
Addr ae: I!q ,OePo+ ed-
o ford, MA
Telephone: qqQ
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition gExlsflng
Renovation Number of Storie a
Change in Use
Demolition
Approximate year of Area per floor (so Renovated
construction or renovation
of existing building New
Sdef Description of Proposed Work:
��riy 1 wi nd ow rep�a.eemerN�S
- - - - Mail Permit to: M 39