BP-40593COMMERCIAL
COMMERCIAL
$25.00 APPLICATION FEE IS NON-REFUNDABLE & NON -TRANSFERABLE
Item I Estimated Cost ($) to nearest dollar. To be completed by permit applicant
1. Building
2. Electrical
3. Plumbing
4. Mechanical (HVAC)
5. Total = (1 + 2 + 3 + 4) Estimated Total Cost Including Labor: $ ��J od
(please print)
I, , as Owner of the subject property hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
1, , as Owner/Authorized Agent hereby declare that the statements and information
on the foregoing application are true and accurate, to the best of my /knowledge and belief.
Signed u e the pal and penalties of perjury.
Sig e o Owner/Agent Date
e
1. HOLD reason:
Date:
2. HOLD subject to Zoning Board of Appeals
action:
4. Comments:
5. Inspector's Signature:
Applicant is
Comments:
3. OWNER/CONTRACTOR NOTIFIED ON
Date: AUG 0 8 2005
IN .,.y
Total Permit Fee: 0 Less Application Fee: $ 25.00
y.:.
Remaining Balance
Gross Area - New Construction
Gross Area - Alteration
D _
Permit Issued To:
!
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rev. September 2004
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COMMERCIAL
❑ Replacement doors and windows - (for existing only) (only where doors and windows exist and will not be enlarged) EGRESS
dimensions must be maintained. Enlarged or new windows in an existing dwelling will be considered as an alteration, otherwise will
be included in new construction. (see Code Section 3603.21 for residential and Article 10 for commercial).
❑ Temporary structure - includes, when allowed, trailers, tents and the like and only for limited periods of time. Describe:
Construction Supervisors License Number
Note.: Signatures and seals on all plans. affidavits & other documents SHALL BE originals and not reproductions
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rev. September 2004