8 CYPRESS ST - BUILDING PERMIT APP What is the current use of the Building?
Material of Building? tOOLIA If dwelling, how many units?
Will the Building Conform to Law? Asbestos? A en
Architect's Name
Address and Phone )
Mechanic's Name
Address and Phone
Construction Supervisors License# HIC Registration#
Estimated Cost of Project$ 4 2yo Permit Fee Calculation
Permit Fee$ Estimated Cost X$7/$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 !�
Date 3-/3- 07
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EI`I'Y--OFSALE. ,r - -
PUBLIC PROPERTY
DEPARTMENT
KI.%OfFA EY DIIISCULL
MAYOR l20 WASHINGTON STREET•SALk3A',.,tASSACHLSL1-TS 01970
Tm 978-74S-9S9S*FAX 978-740-95"
APPLICATION FOR THE REPAIR RENOVATION% CONSTRUCTION.
DEMOLITION OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Name: Building:
Property Address:
property is located In a; Conservation Area Y/N A.1_Historic District Y/N AJ
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land _
Name:
Address: SC✓Pl'SS 5� .
Telephone: -7/Z 3
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing
Renovation X Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year of Area per floor (sf) Renovated
construction or renovation New
of existing building
Briieff-Description
1Jof Proposed Work:
G�v1'iuUe o IL r�fCr� ,�70-?• I NcI,.C, ✓� Q`co(
�Av�Qi S;Z'L' Sir�Iriv+e.
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