13 SOUTH ST - BUILDING INSPECTION (2) NJ
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CITY OF_SALEM
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Permit to:
BUILDING PERMIT APPLICATION FOR:
(Circle whichever apply) Roof ., Install Siding, Construct Deck, Shed, Pod,
irlReplace, Other.
PLEASE PILL OUT LEGIBLY i COMPLETELY TO AVOID DELAYS DI PROCESSMp
TO THE INSPECTOR OF BUILDINGS: '•
The undwsoscl hereby applies for a permit to build aocordwig,to the following
specifications:
Owners Name 1&11•e lP. _ 2`{'YI4)41,0G
Address & Phone /3 Soy)4-h (5>- chi hem (mg 12 yy- 75- 2 4
Architect's Name
Address & Phone ( I
Mechanics Name
Address & Phone ( I
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\ 1l � s Signature of Applicant
�1 SIGNED UNDER THE PENALTY,
OF
DESCRIPTION OF VUbR I TO BE DONE PERJURY
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APPROVAL OF B=ING BWEL;I `—
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