32 BOW ST - BPA-2008-54 GUTTERS, ETC PUBLIC PROPERTY
DEPARTMENT
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MAYM 130WAMONGTON btinses•SetuK sens01970
TEL 97 USAS9S•FNQ M7404M
APPLICATION FOR THE REPAIR RENOVATION, CONSTRUCTION,
DEMOLITION, OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
STRUCTURE OR BUII.DING
1.0 SITE INFORMATION
Location Name: ,41 1 Bufldb¢
------- Property Address------ -
--
S' " .
Property is located in s;Consaysdon Area YIN Historic Dhh ct YIN
2.0 OWNERSHIP INFORMATION
1.1 Owner of Land X
Name:
Address:
Telephone; q -7 k - 7 yj - ys y a
3.0 COMPLETE THIS SECTION FOR WORK IN EXISMUG BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of Area per floor(st) Renovated
construction or renovation
of existing building New
Brief Description of Proposed Work:---—- - ---Mail Permit to: --- -
What is the current use of the Building?
Material of Budding? If dwelling.how many units? -.
Witt the Building Conform to Law? Asbestos?
Arohiteas Name
Address and Phone
Medwnies Name
Address and Phone
Construction Supervisors License 0 NIC Registratlon
Estimated Cost j 00 G.o� Perna Fee CakuWdon
Permit Fee: Estimated Cost X$7/$1000 Residential
Estimated Cost X:41/i1000 Cwwwcla�--
An Additional$5.00 is added as an
Administrative charge.
Make sure that all"Okla we properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for a Building Parma to build to the abovestated
specillcations. Signed under penally of perjury x
Date
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