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47 SUMMIT AVE - BUILDING INSPECTION (2)
1 PL*j4SidtfSTIBEffL£�')APPROVED 8Y T*IE 1AI$O=,TjC B P!WR 'rD-A PM#j1T BEING GRANTED CITY OF SALEM s. No.5�=20d e s ��`r� Date w.. Is Property Located in Location of the Historic District? Yes_No Building 7 /"I'V Is Property Located in ✓ the Conservation Area? Yes No BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool, ep ' e lace Other: s Z4l gi PLEASE FILL OUT LEGIBLY& COMPLETELY TO AVOID DELAYS IN PROCESSING TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: 1 1 Owner's Name (fAq / S� _ PA R URku w I I Z Address & Phone 47 SL m m, L A-U�g ( gj& 74o -- c) o g 2 Architect's Name Address & Phone Mechanics Name ,ry� Address & Phone What Is the purpose of building? Material of building? WO n 1� It a dwelling,for how many families? oR Will building conform to law? S Asbestos? i fo Estimated cost 5)G� �s+D 0 City License N N A State license N(Ot �ZOa^ Home Improvesent ��� o Lie. Signature of Applicant SIGNED UNDER THE PENALTY /► 1 6�I DESCRIPTION /OF WORK TO BE DONE OF PERJURY �L V'C MAIL PERMIT TO: o � S'u-- "me e^) a i No. J 6_ 2-o©� � APPLICATION FOR PERMIT /+TO LOCATION: PERMIT GRANTED //GA3 ,s APPR VfD 7w1 INS EGTOR OF BUILDINGS t FI NOY�,Q. HOME IMPROVEMENT SERVICES p One Source For All Your Home Improvement Needs David Klaiman Main Office&Showroom Tel(978)740-0543 68 Loring Ave. r Fax(978)740-0547 Salem,MA 01970 Tel(781)639-2496 `