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Cite of aalim, Ala5s;arbug;EtS
PLANS MUST BE FILED AND APPROVED BY TSE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
d ocadw of auiiding 33 r
Builaiag Permit Applicati
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'(Circle whichever app�) Siding Con Deck.Sbad.Pod
RepakfflAdwk Founduioo Only.Wtedting
Other.
PLEASE FELL OUT LEGIBLY& COMPLETELY TO AVOID DELAYS IN PROCESSING
To the Lupector rif Buiidiojt:
MW rmdadPed bmby applies fora permit to build mom*to tbo hilowio`apeci0atiorts:
Oweery Illhow q l�l c,/SLilri/�/r Cootnetort QUO sL�od r=. Co
Stieet�3 •S�h-r�w,rrsy� City' cgk st��/ G/A�cO Sr Chy _Q�Cc�!
soft phone oa �- &761 sum 0104- Pbonet� ) 7ow --6101
Arcblood: A1140 City of Salem Ual ,�— d T j
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sum Ciq State Uc# /qy9`l H>p i►
State Phoae ( ) Homeowners Exempt FWM ya,, -p
Stnctrne:(please city Singe Family. utgi'Family# _Other
Estimated Cat of job S 5 W •
Will buiidiag clefts soJm!_— s66o
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Deauiptiaa of work b be dw:- Q�-2Cbr F-)0 i STi U& h'6 x 7I F; 6
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Dnw� ubmiued:_ya"7)a no Mail Permit to:ro of Pam .S G D UNDER THE PENALTY OF PER,MEY
CON —RUCTION T B a. OMPLETED WITHA4 SIX MONTES OF PERMIT ISSUED DATE
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Deputmeot use only: Permit/— --- �rya8 Iv6p/E.ot
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Permit fee S
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