43 VALIANT WAY - BUILDING INSPECTION y
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CITY OF_SALEM
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Permit to: B uam PERWT APPLICATION POW
(Circle whichowr apply) Roof. Install SWkS ConWW Dsck Shad. Pool.
PRASE FILL OUT LEGIBLY A COMPLETELY TO AVOID DELAYS IN PROCESSWG
TO THE INSPECTOR OF BUILDINGS:
The undsro prod hereby applies for a permit to build according to dw following
specilicabow
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Mechanics Name
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SWW UNDER THE PENALTY
OF PWUURY
DESCRIPnoN OF WORK TO BE DONE
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MAIL PERMIT TO:,_
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