17 GABLES CIRCLE - BUILDING JACKET 17 Gables Circle
UA It OF VtKMII Y[KMII NO. UWNCK war NVN I I /
Sept 29,196 #322 I Salem Acres, Inc. Lot #104A)Gables Circle
STRUCTURE MATERIAL DIMENSIONS No. OF STORIES No.OF FAMILIES WARD COST
Dwelling Wood I 4 $llfoC0
BUILDER
Elio DiBiase
Erect single family dwelling
5/23/86 #346 nyl Viding & Trim. (Domer L. D'Agostino (Ken Michaud 16'/2 Marborough
Lic # 084 Est. Cost None Fee $20.00
4/ 14/94 # 121-94 Permit to reroof over existing Est . 2,350 Fee 23.00 M.M.M.
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4
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Plans must be filed and approved by the Inspector before a permit will be granted.
No. /CO — o City of Salem Ward n�
.c4,, PC/
IS PROPERTY LOCATED IN THE y
HISTORIC DISTRICT? Yes_No s
IF SIDING, HAS ELECTRICAL
PERMIT BEEN OBTAINED? Yes No Home Phone #
APPLICATION Bus. Phone #
FOR
PERMIT TO ROt-_=R�, EROO�F)OR INSTALL SIDING
m,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 /1 Q nr "r4
Architect's name
Mechanic's name and address .4�i /ci fi �U HA-RG A jt?d jW 4
Location of building,No. ]7 ?d. 0L P S Ci 2 cL 0
What is the purpose of building? _
Material of building? Asbestos?
If a dwelling,for how many families^.
Will the building conform to the requirements of the law?
Estimaied cost Contractors Lie.No. D g�
Signature of applicant
REMARKS SIGNED UNDER THE
2ont'�-/ /"/G /-9 Vff q E—Lz=�V,-ems PENALTY OF PERJURY.
No.�/ Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location
PERMIT GRANTED
l 19 9410�
Ap roved
Building Inspector
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