3 BENGAL LN - BPA-2008-376 REPLACEMENT WINDOWS What is the current use of the Building?
(,� n cs If dwelling.how many units?
Material of Building? �-----
Asbestos?
Will the Building Conform to Law? �U/0'
Architect's Name C
Address and Phone
Mechanic's Name
Address and Phone
construction Supervisors License S C92-0 O O y HiC Registration N_�
Estimated Cost of Projects m 0 Pam*Fee Cakwlatlon
Permit Fee i So, Estimated Cost X$7/$1000 Residential
-- -- - '-X- - Estimated Cost X S41/51000 Commenaat-=------- - .. . _.
An Additional $5.00 is added as an
Administrative charge.
Make sure that all fields are properly and legibly written to avoid delays In processing.
The undersigned does hereby apply for a Building Permit to build to the above stated
specifications. Signed under penalty of perjury X
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PUBLIC PROPERTY
DEPARTMENT I-�
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��wasaa,cs�„s o1970
Tm-9.1.715-9S"•FNC 9 &-140. 6 G
APPLICATION FOR THE REPAIR. RENOVATION CONSTRUCTION
DEMOLITION. OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING
STRUCTL�� OR BUILDIN _
1.0 SITE INFORMATION
Location Name: p N h D 1`C Dr-, n 13uiWk g:
-- - Property� A v a Address:-------------(----
F F—
Property Is located in a.Conservation Area Y/N Historic District Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name:
Address:
Telephone:
3.0 COMPLETE THIS SECTION FOR WORK IN RIStorles
GS ONLY
Addition g
Renovation L Number ofated
Change in Use Demolition Approximate year of Area per flotedconstruction or renovation
of existing building
Saef Description of Proposed Work:
W t f L� c-� S,
Mail Permit to: