15 GEDNEY STREET - BUILDING INSPECTION r _
15 GEDNEY 'STREET
Plans must be filed and approved by the Inspector before a permit will be granted.
No. City of Salem Ward—�
- 2
IS PROPERTY LOCATED IN THE
HISTORIC DISTRICT? Yes No� w
IF SIDING, HAS ELECTRICAL Home Phone #
PERMIT BEEN OBTAINED? Yes No
APPLICATION Bus. Phone #
R
PERMIT TO ROOF, EROOF R INSTALL SIDING
Salem,
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv applies fora permit to build according to the following specifications:
Owner's name and address __ �Au� MC(9in7h) _ /S 6&gucy ST" —S-I-Lz /
Architect's name
d4l Mechanic's name and address 7RAWZ/[ CtT{/ C&tiXZACIt -S ,?.4k)0)k40 QST S54cc*i
Location of building,No. 6�:d/yC`/ 'ST-
What is the purpose of building? To &ecor OUK./C fii;USTw& 26of- w i TA �.y?!1<rY1 ,2UgbL.e24�G
Material of building? Asbestos?
If a dwelling,for how many families'- g&,AJ/AlusS
Will the building conn to the requirements of the law?
Estimated coat O.'-- Co tr ctor ic. I�o. #X75 �PcG• /Q7b�o`(
S gnature of applicant
EMARK SIGNED UNDER THE
PENALTY OF PERJURY.
No. �9-33 Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location/
PERMIT GRANTED
4!� 1 !�) _ —iso 3
App d I
Buildin nspector
U