10 SMITH ST - BUILDING INSPECTION if(t Pot
of S.f It. owl Qi'J. is :,, ti
A'i*f MAM)-,,*7OPAtW"IfflKS9.4 4 1Ati4 ;for
-tl j I
;4jG4.gs A I y'.Wlwfh
At!
N corn
Z
LL.
7-10
L
IL
' nrsa:
Citp Df aalem, olamgarbu .,'Errs
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING fi Applieatioo For. GRANTED`
BuRdio PerwU Locadw of BuUdiog IP S� JfiA 2QT
'(Circle whichever applies) Root Reroof. bmfl Siding Conswa Deck,Shad Pool '
Addition, Alteration,Rep kMAgacc.Faurt sdm Only,Wracking
Other.
PLEASE FILL OUT LEGIBLY& COMPLETELY TO AVOID DELAYS IN PROCESSDiG
Jo"b 4 axon of
Tbo m detipbd haeby Wha for a permit to build aocadwg to the%%owing Rmuw time
Owaery Naase Cootraetor.
Street_ �� cSh7-fiS r� City .S;t_= Saar cu uo• s r�Y/�s�
State �.9 Phone Pbm(9x'1 WI-
City of Sales L CIL, / fo
street City State UaY_,/Dy�BIP N
soft PhorK ( ) Hoeeow.en gumpt For®_.ras n9
Sum um:(please dyrde) Single Family. Muni Family f _
MAlm"W Cad of job S--
Wid bwwiag ooaiirs to law. eyes
Dauiptioa of w__yait b l
or deae:—S-1�-`,O ��0�' g ` p r,o
:PROW
rawiaga }
no MaU Perait to:
of Appli adoa.$ GNED UNDER THE PENALTY OF PER7URY
C NSTRt1CTtON TO B ONIPLETED W1THD1 SIX(6)MONTRS OF PERMIT ISSUED DATE
l ganmatt use only: Pmmjttt t— Zoning
pack t foe i commms: