5 CRESCENT DR - BUILDING PERMIT APP (002) What is the current use of the Building?
Material of Building? If dwelling• how many units?
Will the Building Conform to Law? Asbestos?
Architect's Name
Address and Phone
Mechanic's Name
Address and Phone
Construction Supervisors Lice s # HIC Registration#
Estimated Cost of Fject$ y� Permit Fee Calculation
Permit Fee$ Estimated Cost X$71$1000 Residential
Estimated Cost X$11/$1000 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 X Akf t
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THIS PLAN ARf NOT LOCATED WITHIN A FLOOD MWrSASE PjavaSES avt Y. C FSETS SHOWN
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OF CQA6 N17Y /P5 MM PREPARED BY 7W APPROXIMATE aw.Y AAD Stu& AvT BE
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IAGOECTIOM' AS ADQATED BY TAF A6/SS-
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AND CIVIL E7VS MEERS.
AUG.22.2006 12:17Pf1—NSPA ADMIN ---- NO.624 P.4%4
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a / A A1A4 s�LlrA_�'r�?BNr�LaAU . MGw��6 �y ,��Y.�A SE'�5�MN
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