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17 PLYMOUTH ST - BUILDING INSPECTION (3) "WOOM4111EVIAIIINVO A/Al VGD BY RE CITY OF SALEM S Dab '+ Wed f Is Ao"�V ' ' In lAostles Ya. Ne eat °` 1'1 f�'1 M 6U1 N SI' bPFOPWIrwm.dIn du G ewagm Am? YON No PEtMW APPL=T= POI Psrmk ro: BUILDW (Caob wtfloliswr apply) Root. Refoa, in" tiWft Canetruot Do* shed, Poa. KMU P"MH LAWKY A A:OLAPIXMY TO AVM D"M M M OOEfLr10 TO THE INSPECTOR OF SIALOIN & Tha --'herby N*W for a pannk to build a000f ftlo thm.loNawirp apeokloatlono: Owners Nanfe I 14CA ?4()m Address A Phalle AMhkeat s NWme AddNm A Phofr ( 1 Meahenice NOW Addreea A Phone ( 1 wh,f b es owo•o a fluld� Mdmw d hlidg9 N a dwaenp,for how ate►fmiaoo4 Nei 4Ndq oallo m fo irw9 IldbMiad ood �5 U-M ah too • sire Uo r eaia L*ew�wt 0�j SjptdlM of t L flMl IAIlNII TIM POULTY' OF PY DEsst: f011 OF WOW TO W DIW MAIL PERNA T TO,• . G�%�l/ Q��� �olh /�/ �s � �©���j� � � ' /�� �� a ��- ��� /10 afy oF sALEM BIWING DEPARTMENT IiO)aOWNER UC.ENSE E m&noN Pkase PAN DA 0 ioeIOCATM, I Pl u W10 �� Scvl Pnr M A • Hamwwm k�u - ADDMs! 'wmwinm C� 7X 7CPy 3dI Tnznwm PRESENT MAnN.0 ADMM 17 P L L M ��t c S ly r7A • The e�em.e>remptioei t�-hnareoe+nol'was nnetded m betide aaroa�wp�d+r�P e[T1Yp • Unit a ka and a allow sueb fomeow m a m Qpp sA bdiridagl.la bba,rhm Boa eat paws >st�.�.t:.tt.asrptrrk.� DEF24rA iGFHOt.EOWN= • Persoo(s)wAa owau a peal d had oo whack hehbc resides a Luends m n+ida.op wbidt these k,R Y m a one m Two mmidad a dwdKd saon"�7 to aek tat WAAst intended be. tamtbr dwelibt�, farm:weave.A perm wbo oorastruats moat tMm mg home k a tw lm perkd shall eat be oansido d a bomamm. suck imnea%TAr shaF abate m th BuDdimg Offm:bL oa a f6asp to i/ BmIft Olfid4 do bLWw be t<apormbk to all sad►wok pub mad ranch*Abu" puotL The urdersignW'hom-own:auwmra Tapons%MV fm=MpH==whb'bt State BaDdbtg Code and ' otha appgcabk goes by4ow ..raks and Tagdo kot. The arAmprad'honaowne certifies tiA hthbe miderwm&tM Ciq of Sakm BWWbg DWwum tt. minitatoa irapwd.pro=dum and mgA=wms and that blsbc will mmpV with Bald pmoedtoee u d regdremieaLL HOMEOWNER'S SIGNATURE f ��a i (1 n n� dU�--- APPROVAL OF BUIIDING IAISPECTOR See other side for sett code it f HOMEOWNER'S EXEMPTION The code antes that •wly h=wowtmr perf=7zdag in*for swhith abnD04 pamh b to qAW Ad he s•,umpt Lom the yrudsioms of tbb secdoa of Gmers caft gapwvisme• provided"b a hoaeownu enpgs p penom(s)fat hhs eo do.loch WC*.The such ho®eowau add iA Marq bmeow==trho nee thb aampdoa arc iosmrc thre they as awombI the PspomsibMdn is supm yos(see Appeodis Q,Auks and Regulstlas fm Lkzosiog Ceootnwdon Super dsorf,S@C*a .3.75} Ibis btdt of swarmm ahem resales in scrimm peblena,pode°1a�w 4<a the hmueomauL6sr mrakcased penom In thb ease yaw Bard eara�ol peooeed apahw the m�H . pawu n ltwatld va licensed Super dw. Ties home$wwu$cling ns superrMw it shlowas teteosRlL . To ensue that tits homeowner b MY$wrote d U# a•respowibffitief,rnn+q oo�dss ti aspsst of ON penal sppncmI .that thr bocwwnu ccn*tho he/she widermstds the respeoAD Mo Oft snpavboa Yao mq ors eo amend wd adopt me!a fermlonnVXXdan fW tree im yaN eoaM=ft. •