26 PHELPS ST - BUILDING INSPECTION Y
IdRiST-BE f&+8-* 0 APPROVED By T44E
I► SPECT,QA ,PfM0R TP'A .PERMIT BFJNG GRANTED
CITY OF SALEM
No. Z'I 2O0 N `� �$ Date
Is Property Located in Location of
the Historic District? Yes_No X Building
Is Property Located in
the Conservation Area? Yes No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construc ec Shed, Pool,
Repair/Replace, Other:
PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications:
Owner's Name irY Cc-�/J�/�
Address & Phone '
Architect's Name
Address & Phone
Mechanics Name
Address & Phone
What is the purpose of building?
Material of building? A, zz If a dwelling,for how many families? ..Z
Will building conform to law? _T✓Y S Asbestos?
Estimated cost City License # N A State License #
Home Improvement ✓l l2FGo
Lic. t �!
(�/lJ Signature of Applicant
ZO SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
,OfY�/�z� ®fW Ocei-� 4c•i74' ye zy /un d mod- .
MAIL PERMIT TO: �/ s✓ ��� 1i'� ��f�Od S�
1
No.C20�6
APPUCATION FOR
PERMIT TO
LOCATION
PERMIT,GRANTED
9/ 1�310 � 2ra
SL
APP VED
INSPECTOR 6F BUILDIN S