25 RAWLINS ST - BUILDING INSPECTION (3) -IL*14SIMST-BE ffL*D,-VID APPROVED By 'T44E
,LN5P XTLI_R ,PRWR TO A PERMIT $EJNG GRANTED
CITY OF SALEM
11 iVN Tom: _
Date I :r 10 ` 07
h rri \
Is Property Located in Location of
the Historic District? Yes_No Building 25 /Zt ccuNs 57
6Aci;r[ !`1✓1
Is Property Located in
the Conservation Area? Yes No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, Other:Elulcf-!r-n A'T7-i/-,
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 JtgFF&M +VttANr--
Address & Phone 2E; RA(Ou,cl-�, 57- 078 ) 745- 3- cc?
Architect's Name YA
Address & Phone ( 1
Mechanics Name
Address & Phone ( 1
What is the purpose of building? ADDlm-, Z Ci > /2b6K5
Material of building? / iM a If a dwelling, for how many families?
Will building conform to law? t&S Asbestos? P�/n
Estimated cost$380c) City License # N A State License #
j9bz
Bome Improvement Lac. I
na) re of Ap licant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
1'"10,5GIIAIC9, 14rnf FVR 7 SLQ ftQ FNS L✓svu4ri y6, OW NAa-- 6:jeK T2/L
MAIL PERMIT TO: / t S A
No�� P
APPLICATION FOR
PERMIT TO
LOCATION
PERMIT GRANTED
APR OV�D
I P CTOR OF B ILDINGS
CITY OF SALFM
BUIMUiG DEPARTMENT
Holao mucENSEimeno
paws MIA
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ar
HOMNOWMIS S1GKA
APPROVAL OF BUBDING II�sPECI Ofl
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HOMEOWNER'S EXEMPTION
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BASEMENT
23.5 chimney __
to 1st flr
front door Subject to alapr®,>Z1lby any�CtL r
authwitg Ia :3 jCLiT
CITY of
Nu
BY
PI_ 144 ARE APPRGVID::iLEL'Y 70:11:•.,_ci
r AND ^_vF LoN Cj7
Fi,-,T PROTECTION DEV!rEZ
from lst flr RIK.a T?STA::D IN3PECTION,FOR CXAV7 E
ANCE WITH THE FIRE CO=LE.
_ 26.5'
FIRST FLR
Fj
�f
family rm dining rm
23 .59chimney
from bast
front door
bathroom
kitchen
to 1st flr mud rm
26.5 back door
i
SECOND FLR
0
U
master br. bedroom
0
U
23.5' chimney
fro st floor
bathroom bedroom
to attic br's
U
26.5 '
ATTIC
storage space
a �
o O
U U
23.5 ' bedroom chimney bedroom
fromynd floor
Circui breaker box
storage space
26.5 '