Loading...
54 MEMORIAL DR - BUILDING INSPECTION (2) qPLtNIB1AWST19EfNAB4N0 APPROVeD BY ne ASPECUIB PWR W A.PERINT SWIG GRAND CITY OF SALEM N r, Ode wam zadrq DHeW Location of ft Welab Diowd2?� Y*No_ 3"mins Is PIOMmy Loombd In Caamvaeon Ann? . YM No Permit to: ING L� BUILD PERMIT APPLICATION FOR: (Circle whichever apply) Roof. ROW, Install Skiktp, Corntruct Deck, Shed, Pool, Repak/Replace, Other: 1&)��� jj Say PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESOMq TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit to build accordGiq.to the following specifications: Owners Name li rJ STD Address & Phone Sq Mgr,wtn2(4L ➢f- Orn) -7-44 --'7U-Co Architect's Name Address & Phone Mechanics Name Address & Phone What Is 11ta pupm it one? W ooD 6U.+2n1 i N(, S -byg— md"of butldrq? M a tfwatllnp,for how mtrhr tames? Wa bul*lg mft,n to law? Adofte? F.rimatad coat I D o o c"Ucatra r 8111a k I3c. �so...aat S re of Applicant ONUM UNIM THE PENALTY' OF PmUURY DESCRIPTION OF WOW TO BE DONE P�EU) OLl S orhrr ©wNL6 2N '3r/fLLIF b ,I I-; Apples f uAL,� m1 �£ MAIL PERMIT TO: J c 4l r� 7)t 3—) ,g L?hs f-1c, *0U-Yt o21Ac- l7Q, No. APPLICATION FOR PERYIT TOO LOCATION / PERMIT GRANTED A/(0 19 APP ov�o INSPECTOR OF BUILDINGS CITY OF SALE M BUBMING DEPARTMENT 1•ioumo 11tm ilmsE Edno Plan P" o =I=TM S` Vyl�cy'�o ei�c �Q • ADWX* tla vt�t (9 -7 �) :74 4 -7ciZCa TELErgm pREs�•neAaa�aADDREss 5� ��o.Pi� `� . 7Le av,eza.cwmpdosi d-hom wwnen-was wonftd w ba hde ennet'sFWP"d"OA V"*TM Unlu ar>m and to albw aocn botocowoos>o enpys m bdirldmll.loa�,►ee toe as poaaeta• Ikrsn..Wv�ukd tbas tmc ewaaratx�wpesvfsati . DEFft47"OFHCNECWNM pcnm(a)who owm s paral of bmd ea wbkb b&%he asides to k*=&to tcdit op of thus k,R Y . buendW to b%a an 10 two f+riy dwcft&amdwd at deadad svuames mcccom710 BO&mean'I farm svwmec A pcnm wbe CDT&V ett Mm thm ow home bt a twCI=POW sbA 10 %4 cowN d a boaieowaea. Ste4 I moownt shag svbndt w the Buldbsj Oflid4=a lbrtp MCWUbk 10" BuildinS Odc4 ow belle be mquabk 10 d9 sock work pcfaetmd tmdw the buDft pu=IL The undcslprd`bomeow net'mama a tespoy,& ty for eompfbm wW h the state Bt bft Code m d other aWoobk foes by-bm%tuks aid te=uktJ=& The wWc sip"-hcmwwnd•causes that hLWK mdetsatds the aq of Smkm Btu Dapoa..e mWn m0 bapwdca p=Wwu and tegtmea w and that ldabo wtTl==*waU UN PC=&=sd tegW - HONMWM'S SIGNATURE APPROVAL OF BMDING CTOR See other side fa state code HOMEOWNER'S EXEmiErn The CO&sues ibsC •wW bcnmwacr pufasmint ilv*for whicb a bOD&V permit Is legabed Art M cxc p boo the p udd m crihis«cdm (Seeim 109Jd-ljccnsiog of Goscrued"Uperwbu 77ovidcd�.is s 3omeosrna awt�.prim(s)ra bbs to do.such wort.tha ritc4 bosaeowaa dull es a fsamq U=cuwaem who on this campdm we mrwate that they we asmadng tbs:rvoodbilldo de sopavim(sec Appendbt Q*Rvks and Repinioa for 1Josnsioil coesinwass Eopervtso %sedan lI'J} 7bds hide of swarerss afla►resuTu fA scsieus ptoblcros,Pordeola w Lea ft►ooeosv�erbi� Uriiaasod persom la thb ease yaw Said easawt Fvcc d s�the mi8a . pergm as ltw- va liecased Snpcnis F. The b*mesnbcr saint su supervine Y oit> rsspowiNL . To crime dm the homaot =is fully srwau of bvna usponr]bilidek wasp eosm'"Ww s MOK-m rd of an pcmdl sppiicadon.that the homsowra coi*dm hc/shc wmie rssnda the sespeasitdlldss aft scpavbm You mq an to wncod and adop sneb a fosmk cnVAS im he tsw bs 7m GNMwft- I