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7C GRISWOLD DR - BUILDING INSPECTION what is the current use of the Building? Material of Building? It dwelling, how many units? win the Building Conform tolwc • Asbestos? Architect's Name P 0- Ray M174 Address and Phone Peabody, MA 01960 978-977-9900 Mechanic's Name Address and Phone Constriction Supervisors License# HIC Registration# Estimated Cost of Project S o 00 Permit Fee Calculation Permit Fee$J— Estimated Cost X$7/311000 Residential Estimated Cost X S11/$1000 Commercial An Additional $5.00 is added as an Administrative charge. Make sure that all fields are property and legibly written to avoid delays in processing. The undersigned does hereby apply for a Building Permit to build to the above stated specifications. Signed under penalty of perjury X Date i 3 0$ N x a u e S 3 O C 4 16 o. — - -- — W - d — EITy-oFSXLEN — - PUBLIC PROPERTY ,a DEPARTNIFINT Ki.aIMAr o.w-,v U MAWS 130 WASs UNGcw S'MEE-r•yury,MncUaastin Ot97o 'rZL 97674S•9595 0 FAX 976.740-95" APPLICATION FOR THE REPAIR. RENOVATION, CONSTRUCTION. DEMOLITION. OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING STRUCTURE OR BUILDING 1A SITE INFORMATION Location Name: P Building: G Property Address: -7 G /u - - Property is located in a:Conservation Area Y/N Historic District Y/N 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land Name: Address: Telephone: U} Z CI 1 Gj (0© 3.0 COMPLETE THIS SECTION FOR WORK IN EXUMUG 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 of existing building New Brief Description of Proposed Work: l - Mail Permit to: