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120 WASHINGTON - BUILDING INSPECTION
pL.MSi.MWV..9Ef%Ee4►ND APPROVED BY T44E MpZC=pWR Tp/t.IPEAli11T aMG GRANTED CITY OF SALEM A . Date u Properly t arAud in Yea No location of/2 Q c Li >� +� is property Lpcam in do Carervadon Am? Yew No BUILDING PERMIT APPLICATION FOR: Permit to: Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool, RepaidReplaos, Other: T=• 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: Owners Name PFn&�V -7 -Z ALDO sr S v, rc /oo Address & Phone S_1,1E- AA f COI /1 lDZ 5 3/� Architect's Name IVIIA Address & Phone j Re& Z-Z-e Mechanics Name 1yju1AeL. Address & Phone Noy Q— T 11A WhW is uw p xpoaa a buN W mmm ot b i drg? /KIfl Sau2X s a dw"W,for taw many lami"? WN bulldkq comorm to law? Y6-5 Aibastae? -VO EatYmw coat 9,, ©Co cuy tJcanw r N/A- state l e r © 66 /`f3 aoaa Iapzorraaaat V . Lie. i /A, re f Applicant IGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE Aj(J ZX a &ET,4.L S(0d 60A It Kl,,(ZE 4'j0'!i�, doo2 t �G7- ,q l 1,) //S �'�W 0 e�c� iP�Rio try —� f C _ MAIL PERMIT T0: �'�y .t. No. APPLICATION FOR PERII6f TO LOCATION. PERMIT GRANTED 2.00,� APPROV D INSPECTOR OF BUILUNGS .white board,. 12' 120 Washington RCG-LLC Office tz .i w 5 7 Cam; a!5 I N N1 ❑ I 5.5I� 4' r 5.3�ob 2Ndff�g- yucA :SPACE _white boar 12 120 Washinggton °° RCG-LLC 0 ice 7 21'-5" 5' i 5, r ❑ La .nnn, 33�oe 2 '`�d whnitO boar 1200 120 Washin ton g RCG-LLC Office N d - � 5 I� 7 21'-5" 15 IF