21 THORNDIKE - BUILDING INSPECTION P �NsIAWTqBE M11941419 APPROVED BY DIE
MPECCUIR PWR TP A.PERW BEING GRANTED
CITY OF SALEM
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BUILDING PERMIT APPLICATION FOR:
Permit to: /��
(Circle whichever apply) L'wOf�-�emof, Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, Other
PLEASE FILL OUT LEMLY i COMPLETELY TO AVOID DELAYS IN PROCESSMp
TO THE INSPECTOR OF BUILDINGS: '•
The undersiprksd hereby applies for a permit to build aocortkig.to the following
specifications: f
Owners Name VLC�
Address A Phone 1` g7 $� Qj
Architect's Name
Address A Phone ( 1
Mechanics Name
Address 6 Phone
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SKfiNED UNDER THE PENALTY'
OF PERJURY
DESCRIP110N OF WORK TO BE DONE
MAIL PERMIT T0: C3 i �'
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