39 DUNLAP STREET - BUILDING JACKET + p _ —��
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Plans must be filed and approved by the Inspector before a permit will be granted.
No. City of Salem Ward_
IS PROPERTY LOCATED IN THE ;
HISTORIC DISTRICT? Yes No n
IF SIDING, HAS ELECTRICAL 'fJR`ccwsxd�d Home Phone #
PERMIT BEEN OBTAINED? Yes No
APPLICATION Bus. Phone # Sart- 03(- rz ff
PERMIT TO ROOF EROOF R INSTALL SIDING
Sa ,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv applies for a permit to build according to the following specifications:
Owner's name and address _W I4 . i.� , a-V406(,. $k!f <- e7
Architect's name /
Mechanic's name and address eft/
Location of building,No. 3 `/_ yu AL- a- S1- f/9I�f .
What is the purpose of building? _
Material of building? 106Asbestos? K/D
If a dwelling,for how many families^. _-7;;�
Will the building conform to the requirements of the law?
Estimated cost Z.Sa () Contra or Lic. No.
Signature of applicant
EMARKS SIGNED UNDER THE
Re &20 � PENALTY OF PERJURY.
�J-o Cvl�
N�/,3 —9J Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location 3'j /)v 1 IOFB
PERMIT GRANTED
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Approved
cal u" mg Ins otor
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