13 CHESTNUT STREET - BUILDING INSPECTION 13 Chestnut St.
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Plans must be filed and approved by the Inspector before a permit will be granted.
No. City of Salem Ward3
IS PROPERTY LOCATED IN T E h
HISTORIC DISTRICT? Yes r No + w 9
IF SIDING, HAS ELECTRICAL Home Phone # 7 (o $/�3
PERMIT BEEN OBTAINED? Yes_No_
APPLICATION Bus. Phone #
FOR
PERMIT TO ROOF, REROOF OR INSTALL SIDING
Salem,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv applies for p '/y ermit to buil according to the following specifions:
Owner's name and address __ A49N. PAs i/ic tC 6N�TND7- <ST
Architect's name t♦V 04 tT
Mechanic's name and address Mo1' "1 a.1..
Location of building,No. tz
What is the purpose of building?
Material of building? Asbestos?
If a dwelling,for how many families _ 2—
Will
Will the building nn to the requirements of the la%? YIE3 O 2
Estim—ed cost Contract s LVN,No
i Signature of applicant
REMARK SICiMED UNDER THE
PENALTY OF PERJURY.
1fU�T�! Alpirr „ /Yl.o.n ✓ g nim S2eS�
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No. Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
I
Location f 3 C�t s �. ✓��
PERMITGRANTED C�
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19
Approved
Dco,it&HIF9
Insp ctdF
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RJS
ROBERT J. SWAJIAN & ASSOCIATES, INC.
INSURANCE ADJUSTERS
161 SOUTH MAIN STREET
MIDDLETON,MA 01949
TELEPHONE(508)777-1400
FAX(508)777-2255
FORM OF NOTICE OF CASUALTY LOSS < N
TO BUILDING o a
UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B a=«
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TO: Building Commissioner or Board of Helkiti IRZ rn
Inspector of Buildings Board of Selectmn
CITY (TOWN) HALL GAME
4/ 70 addresses
RE: INSURED: �j]
PROPERTY ADDRESS: 13 6AP I-Al0 K ST S Sf1 L629— ' 4 10/x7'70
POLICY NO: (�P Z S"6 S�1' -z-
LOSS
LOSS OF: A --_c L
FILE OR CLAIM NO: SS — 123(r 7--
Claim
Z38'Z—
Claim has been made involving loss , damage or destruction of the
above captioned property, which may either exceed $1 , 000.00 or
cause Hass . Gen. Laws , Chapter 143 . Section 0 to be applicable.
If any notice under Mass Gen Laws Chapter 139 Section 3B is
appropriate please direct it to the attention of the writer and
include a reference to the captioned insured, location, policy
number, date of loss, and claim or file number.
ADJUBTERS
TITLE: c
On this date, I caused copies of this not c�o be sent Lo the
persons named above at the addresses indicated above by first class
mail .
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Swe,ii n, Adjuster
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