18 CLIFTON AVENUE - BUILDING INSPECTION 18 Clifton Ave.
S3 b73b
Plans must be filed and approved by the Inspector before a permit will be granted.
No."/ 1_ City Of Salem Ward �J /
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,rbc Home Phone #
Bus. Phone #
APPLICATION
FOR
PERMIT TO INSTALL A SOLID FUEL BURNING STOVE
Salem, Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for,a permit to build according to the f,¢Ilowing s�ecifif�at)"ons:
Owner's name and address � /�i {'� ��/ u �C /�"[i
Architect's name
Mechanic's name and address
Location of building,No.
What is the purpose of building?
Material of building? _
If a dwelling,for how many families?
Will the building conform to the 6equirements of the law?
Estimated cost 4� /70 i Cc recto s I[,,��,j N�40''
Signature of applicant ,
REMARKS
i
No.f Ward
APPLICATION FOR
PERMIT TO INSTALLA
SOLID FUEL BURNING STOVE
Location
PERMIT GRANTED'
19GC�
Approved
l g Ins`p ctor