13 BOARDMAN ST - BPA-2008-231 BATHROOM What is the current use of the Building?
Material of Building? If dwelling.how many units7�
MR the Building Conform to Law? Asbestos?
Architect's Name
Address and Phone ( )
- Mechanic's Name �� 3q
-Address and ptwneE e�vrt �.� ��I l�� o� AA-k o��,543
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Construction Supervisors License# 9 b LCP HIC Registration#
Estimated Cost of Project d Pennk Fee Calculation
Permit Fee i Estimated Cost X$7/i1000 Residential
Estimated Cost X$11/=100o Commercial
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
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PUBLIC PROPERTY
DEPARTMENT / �\
Nwvaa 120 WARUNGTcw bM= '�ntbK NncssaHLst-rrs 01970
TEL 97e-745.9S"•FAZ M740.9/4
APPLICATION FOR THE REPAIR. RENOVATION CONSTRUCTION
DEMOLITION,OR CHANGE OF USE OR OCCUPAMY FOR ANY EXISTING
STRUCTURE OR BUMDING
1.0 SITE INFORMATION
Location Name: Building:
Property is located in a.Conservation Area YIN Historic 01*k;t Y/N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: C
Address:
Telephone: �-
3.0 COMPLETE THIS SECTION FOR WORK IN EXISlM 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
of existing building New
Suet Description of Proposed Work:
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