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43 BOSTON ST - BPA-2008-123 PARTITION BASEMENT FOR LAUNDRY PUBLIC PROPERTY DEPARTMENT usro. 130Wti9U1rGW*!,'rMW•5ALbK.MAM CHL5k--M01970 TU-97a-74S•959S•FAxxt"8.740.9W APPLICATION FOR THE REPAIR RENOVAD N CONSTRUCTION DEMOLITION. OR CH—GTr OF USA OR OC('rip Cy FOR ANY EXIS.a STRU OR BUILDINnr� 1.0 SITE INFORMATION " Location Name: ' Building; -- Property Address - .. S (� Property Is located in a:Conservation Area YIN Hlamrie OW&W YM 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land Name: S Address: U Q Telephone: 3.0 COMPLETE THIS SECTION FOR WORK IN EYIBII 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: -- -- -- Mail Permit to: What is the curreM use of the Building? �R j� H dwelling,how many Material d Binding?_�— Asbestos? Wig the Building Conform to Law? Architect's Name Address and Phone ', o �Q ` �\11: C Mechanic's Name C Ol o t �` _f e S \ & e-, Address and Pho Construction Supervisors Ucense 0 C S 3 I Z HIC Registration 0 ) / cv Peit FM Caks mmun rm Estirnated Cost Pro ad S —� Estimated Cost X S7/51000 Residential Parnit Fee Estimated Cost X S11/51000 Commerelat--- - - __ . An Additional$5.00 is added as an Adminis"WO charge. Make sure that ail f+elds are properly and legibly written to avoid delays in processing. The undersigned doss hereby apply for a Building Permit to build to the above stated specifications. Signed under penalty of perjury Date � I IL Its t'Z(l N E— I `�-