28 NICHOLS ST - BUILDING INSPECTION fL���Ewl��w+ w�PRovEiD av ZiiE
POW TO A'ffJ MW MOM GRANTkD
CITY OF SALEM
No. NO
Wed
ora m
h Aop.ey Wanted In Laastim o:
en mmoft obud a Yana No
b ft p"Lootlad Ym
: et a l .—M I1,1W . YM No_
Permit b: OLM LOM POW APPLAWMI PON:
(Chia whichwar apply) Roof, M on In@W SWInot (:prlsl - DWK Shad, Pool,
Awawnaplaoam
PLEASE PLL OUr L OONLY A COMPL OMY TO AVOW 0E AV8 M PROCM
TO THE INSPECTOR OF BU LDINGS: '
The undersigned herby applies for a permit to bulld a000rtiftlo Ihs.bNowk-
OwWs Name I&VN
Ad*m& Phone S ?
INohkWs MM
Address A Phone
Meohenia Nanrs
Aditu d Phone ( 1
mm M sr pup000 a bue w
kill"a elilftr N a daeaae,for flow aapgr la 0=1
wa 4dsne oordo b bw7
EdWW w9tL19 n C) Cey Ul r ebd.tloaraa•
am rassaw�c
Lta. /�
f11�A0 UTOO1 TlfE PSNALIY-
OP PORAW
DUCH11P I N N AP MPORI(TO OE DONE
wx PERMIT TO;
• -. . _, •,
r
:�
,. •.
. . ..
. .ter..
:�,.. . . .
,..,..� ;�,.a:
,.
.r _.�
� .. �,. ��
� �� � o ���
�•
1 CITY OF SALEM
BUDDING DEPARTMM
licla m ucENSE E)MWO'IlON
Phase Pti� � '
DA /G' 7-G d .
X9LOCATJOR 0? t l�l/�f�4iGs s T
ADUUMP
H 79-- 7
FRESENI.IdAII.M ADDRF� 5,�
• Tee emtcat,e»vpti�d'twmeo++�"wvs oatcadcd to bclvde er.cF.cwv�.�'�'v�T'� .
Unto a less ad b aAo�troth bomeowtters to aKsjs m bdlrbdgb.lsr 1tiR w+eo does not passett� .
Iksaee.Pra`'�tbm�ewaKr scs sf ale*�boR.
DEFawm GF HO MEOWAR
• tkrsav(s)weo osm s potsl d land on weke eelsbc asides a brerds to astdR op.rt3e60ws k,er Y
breaded to bS s one so two family d+K11Tm&snadtod a dwdted 8000mey tb ws3 tar WAFW
farm sww veL A Patna wbo swravvets more tan a=hams ins two-yasr Paka"ttot be oonsbda d
a bomeowva. Stilt nmO aef dal r&mh to the Batt offmbI. a tie wmr"k pva�
Bm'id64 OfAcid.that UWw be mpo�m%k to all nth work pesfamed aad
Ma=&mpsd-bomwwne aotmees rCsPO=%ft for wmPUM w•t&*t Sure svb ft Code o d '
other appSobk foes by-bows,rain and refrtadm L
Tee mdasiped-b.-wwne=dfm thri W&VA mdasaads tlee Cipr of Salina Bvild6aj Depvos�t.
mi ==bapc=m P=Wwu and ngtivemnvs and/tat hhhc wM wmpV wi&said pomdmn d
HOWOVER'S SIGNATURE
APPROVAL OF BVIIDING INSPSCTOit
See steer sdefor ma code
. Y
HOMEOWNER'S EXEMPTION
The code sutes ftC 'wT borne vma perf=dnS wvAt for wbkb a buD ft pm=k,b tegttltsd dr1 fe
oxmpt from the pso�isiom ottbb MP
n (Sectiw]69.}.1-Uccosioa of C morucdon Sopaview
Provided that is a bomeowata ern pasom(a)fer hbtt tD do.ettt b w a d c.tbm atteb bomsowaer dne
. n aopovl�at:' '
MOW bvmeow ma who use ft etamplon we m»wm tbet tbey an ammmdmp do pupoaoaI Old q Its
supervisor(ace Appcodls Q,Rub and Resulnlooe for IJecasiop CmMnm m Sopesvbas.ilaedau
.2.24 72ds lade Of aawseneas afka tasnbs 6►serioes ptoblemrr pudmb* " dw o - ,m ra bhm
wtlieaned petsomt In tb$can yaw Band catmot p cam d apafmt the armed pergm"1lwoulA wl&
rccnsad Smpovbwr. 7be bomemser acting as anpervbw is w,o --y!e6ransw .
To same that t!►ti homeovvttct is fuibr nvatc of LUher sapoaslbl>ftis�tomgr eoso�¢de nsgaLR•}eat .
of the pcmd{appiiadost,that the bome wmw c aft*A h&Wx utdetaamda tba usp000bitllin eta
mpctvbm Ym mq cant to mend otd adopt such a trinkerdlicadon fw teas in yaw cam==*&