23 FELT STREET - BUILDING JACKET 23 Felt St., .
Plans must be filed and approved by the Inspector
prior to a permit being granted
CITY OF SALEM ^_ _
No.�J �j C�ljc{ Ward
HISTORIC DISTRICT? Y (T Date ,
IF FOR SIDING, HAS ELECTRIC + Home Phone �YS-� 7U7
PERMIT BEEN OBTAINED? Y N Bus. Phone.._
APPLICAATION k �
FOR
PERMIT TO5 //C C ALL—' -
re:
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the {
following specifications:
Owner's name and address [7 5-710"
Architect's name
Builder's name
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Location of building, No. �
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What is the purpose of building?
If dwelling, # of units? Material of bldng? T -
a...�s
Will building conform to law? Asbestos?
Estimated cost �3 fCo 0 a City Lic.# State Lic.11 '
Signature of Applicagjl '�
SIGNED UNDER THE PENALTY OF PERJURY`
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DESCRIPTION OF WORE TO BE DONE ".
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Mail Permit to:
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APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location
PERMIT GRANTED
Approve
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