0155 WASHINGTON ST -BPA-392-2004 MOVE ENTR. r {
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p .IISPECjDB .PFUDH T-0!A .PERMIT.B.EW G GRANTED
CITY OF SALEM
No. ,l_
nCJ� °"" Date l� '
'°: � w` ��$3 /I l
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a5 s /rg Ward
rmNrop' - Zoning District
Is Property Located In Location of � � pp
the Historic District? Yes_No_ Building I� uj ct r k'�Ty&) S"r
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,
Repair/Replace, Other: VVIIJ1JY1Q P11 APt(AZ))
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:
Owner's Name C./ ,I
Address & Phone
I�QavttA , tip UIgis
Architect's Name I/Um+(A S-I-Oel /}'rG�\1kGfS —T-A.1C.
Address & Phone �i� ISSP jr &d . cSabfi L(A 0?? 0 -7uy -
Mechanics Name
Address & Phone n ( )
What is the purpose of building?
Material of building? aA 9 n nQ FT-7AMe-- If a dwelling, for how many families?
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Will building conform to law? Asbestos? U v1
Estimated cost 1 1) .00 City License # State License #
¢ Some Improvement
LK t b D `''��L'c. # Signature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
I0 C-aI-L e 2�eSS 1)002
MAIL PERMIT TO:
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