14 WEBB ST - BUILDING INSPECTION (2) oPb%M WIDE fIL494ND APPROVED f3V TW
MFEC=PRIOR TD A PE W=NO GRANTED
CITY 0F_SALEM
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Permit to: BUILDING PERMIT APPLICATION FOR:
(Circle whichever apply) Roof, Reroof. Instal Siding, Comtruct Deck, Shed, Pool,
Repair/Replace. Other
PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSM
TO THE INSPECTOR OF BUILDINGS: '•
The undersigned herby applies for a permit to build accortL-V.to the following
specifications: .
Owner's Name \I nN 1�%�p�r9rt/Sc� /✓
Address & Phone
Architect's Name
Address A Phone [ )
Mechanics Name . —o /1�
Address d Phone O)e e4e ��,�✓m( 7�5 7ytf a 7¢
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ipnabnre of Applicant
a SNUM UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
CWel'Ne?s Coe
�er�,�lc� ,Q /'ffl�raarn � ��ne �IeTje% -f-
MAIL PERMIT TO: 1 u)e-E&
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APPLICATION FOR
PE l TO
PERMIT GRANTED
APPROVFD
IN$PECTOR BUILDINGS
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CITY OF SAL04
BUBMING DF.PARTIAM
HoI aOWM LICENSE Envenom
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HOMEOWM'S SIGNATt1RE l
APPROVAL OF BUILDING �� /`
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HOMEOWNER'S EXEMPTION
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