6 CHARLOTTE STREET - BUILDING JACKET 1
`p GhEL.O TT 5'r
Plans must be filed and approved by the Inspector
prior to a permit being granted
q&q--94 CITY OF SALEM ;
No. Ward
HISTORIC DISTRICT? Y N 5 Date ai 7
�.;.
IF FOR SIDING, HAS ELECTRIC y Home Phone
PERMIT BEEN OBTAINED? Y N Bus. Phone
APPLICATION
FOR
PERMIT TO
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to thel :'
following specifications: wfi
h Y + •»
Owner's name and address
Architect's name
Builder's name
Location of building, No. _�4.4;
1 C / 7 ��
What is the purpose of building?
.t
If dwelling, # of units? Material of bldng? +
Will building conform to law? Asbestos? ;
Estimated cost City Lie.# St Lie.#
Sig ature of Applicant ' »
SI UNDER THE%SPE Ti OF PE -
c`
DESCRIPTION OF WORK TO BE DO "
n :
Mail Permit to:
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APPLICAYION FOR
pERl+AI V?O ROOF
RE OOF OR INgYp m SiDii4d
Location
df aK D
APPt° as _
Glc,
Bu i 0 Inspe
4'
Plans must be filed and approved by the Inspector �a
prior to a permit being granted
CITY OF SALEM
No. �� , �r Ward
HISTORIC DISTRICT? Y N e Date
IF FOR SIDING, HAS ELECTRIC Home Phone >.
PERMIT BEEN OBTAINED? Y N Bus. Phone ;
APPLICATION
Q 4.
FOR
PEBMIT TO �V WLV Cx A
X ;
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the_..'_
following specifications: `
Owner's name and addressUyyCE �cIb�SOlI
Architect's name
Builder's name�/)�n
Location of building, No=.�jl� J //1rZZZ &/n o:-
What is the purpose of building? `..
� WeL( r � �
If dwelling, # of units? Material of bl g
Will building conform to law? Asbestos? 100
V 0
Estimated cos / ��`� ty Lic.# n/ (ZState LiVc.�#J_J/' //
tea .
Si nature of Applicant
c
SI D ER THE PENALTY OF PERJURY
DESCRIPTION OF WORK TO BE DONE ;
41
Mail Permit to:
P+
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No. �f Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location �Zv` A q �g 04
PERMIT GRANTED
Appm ed
lC Ildlny/ actor