270-274 ESSEX ST - BUILDING JACKET Y
What is the current Use of the Building?
Material of Building? 'R f11— -- it dwelling.how many units?
Wir the Building to
Law? VIES Asbestos? )EOM&
Amhiiads Name ( 1
Address and Phone
htechanb's Name �o� �6 VN6 —
I TRAM�
Address and PhoneConstruction I
Superv;ao ,License 5 GS 2014O16 HIC Registration 5
Estimated Cost of Projed i o2 000 PwrrA Extimat dC ogt x$ / iOOO Residential
Permit Fee 5 -
_ Estimated cost i41/i1000 CanxnerciaL--
An Additional$5.00 is added as an
Administrable duwge.
Me"sure that all flsida 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
Date
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A N
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EI'I'rQF3XLV
PUBLIC PROPERTY
' DEPARTMENT C�J
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Vwraa 130 Wsuurw"b'nU r•S,ui4%%UACW ShM o1970
TH.V4745-gS"0 PAZ 97e.740."46
APPLICATION FOR THE REPAIR. RENOYATION CONSTRUCTION
DEMOLITION OR CHANGE OF USE OR OCCUPANCY FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
LocationNanwc m, ES'SrxST Syorz - CK
dw-??,t EssEx 5-r .SAL2 J7 .
Propeft b bcated in s.Conservatlon Ams YIN -L_Historic District YIN
3.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Nome: .S-r9PkJ:-" +fALj5V
Address: d,,ASON
,SALE ; h.-,A D iq?o
Telephone: C 0- T?144q-oqllg�7s
3.0 COMPLETE THIS SECTION FOR WORK IN E7nA*run BUILDINGS ONLY
Addition Existing
Renovation ✓ Number of Stories Renovated
Change in Use Now
Demolition (, eHImey Existing
Approximate year of Area per floor (sf) Renovated
construction or renovation
of existing building New
Suet Description of Proposed Work:
RE--1?,W 13ASEFK-047 S`fA I n S
�IShnAN"(!- UiIUSI:D �ZICK G'k11w- Zw ON Ro(•
-- - -- Mail Permit to: ,57MPNbd 44ALElf % C@2&d Ms q5