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PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building -7 TH fZ OP S
Building Permit,ApPlication For.
'(Circle whichever applies) Roof, Reroof, Install Siding Deck, Shed,Pool
Addition, Alteration,Repa /Replace, urtdation Only, Wrecking
Other
PLEASE FELL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
To the Inspector of Buildings: '
The undersigned applies for a permit to build according to the following apecifcadatta:
OwneriName: H/L L Aro2FYL Conti-kaor: Gm [J\ of
Street 7 04AJ 14RoP city Street �r
( 7fZ�'£N�oo1� City
State Phone Y 76 77V-37,8 C/ State Phone 497h
Architect: City of Salem Lict
Street City State Lid! REPO l & k q-3
State Phone ( ) Homeowners Exempt Form _yes /L_no
Structure: (please cirri Single Family. uulti Family N Other
Estimated Can of job 9O 1 \
Will buildiog confi to law? yes no
Asbestoa?_ycs Y so
Description rk to be done:
Drawings Submitted:_yes no Mail Permit to:g j� C.Dr3Ct-Cn/ /C
X BJDRN
Signature of Application,SIGNED
��ED UNDER THE PENALTY OF PEBJDRY 0/ -79
t
CONSTRUCTION TO BlOMPLETED WITHIN SIX(6)MONTHS OF PERMIT ISSUED DATE
Department use only: Permif'N Zoning INap/l of
T
Permit fee S
CON ENTS: