0050 ST PETER STREET - BPA-06-443f
ACV
-PLlMfIS*WTOEf NiD *PPAOVED BY 744E
imap,lr_rrfa i POOR TD A.PEW JWMG GRANTED
CITY OF_SALEM
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BIULDL40 PERWT APPLICATION FOR:
Perms to.
(Circle whichever apply) Roof. Romof, Ing" Sidkp, Cwwtnx;t Deck. Shed, Pool,
Repel floplace. Other
PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS W PROCESSWG
TO THE INSPECTOR OF BUILDINGS:
The undersgrfed tfereby applies for a permit to build accordkp to the foUoMri V
specdicalionc
Owners Name
Address & Phone 1 )
Architect's Name
Address & Phone
Mochanm Name
Address & Phone
wh.f a fha purPa.a bunarfsy -T/-}-i /
Iwfraflal of turidrp? 9 a dws&q.for how many tomb*?
WN bAfo wd to law? AabW*W?
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C SW= DER THE PENALTY
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DESCRIPTION OF WORT(TO BE DONE OF PER,IIIRY
MAUL PERMIT TO. 017
No. C7 �
APPLICATION FOR.
PER
MIT TO
�'1'nor- RooF l�vl�r.r5 �—
LOCATION
PERMIT GRANTED
20
INSPECTOR OF BUILDINGS