17 HANCOCK STREET - BUILDING JACKET 17 HANCOCK STREET
Plans must be filed and approved by the Inspector 3 ,
prior to a permit being granted
II CITY OF SALEM
No. � Ward 6
HISTORIC DISTRICT? Y Nv Date z q 7
IF FOR SIDING, HAS ELECTRIC /" 4' Home Phone(,'
hone(, OB � ✓✓���
PERMIT BEEN OBTAINED? Y N syBus. PhoneCl
APPLICATION
�� lliaw.� IMC�eR
PERMIT TO 6�eDcerr �C'Gu'' fJGr�f��S
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the
following specifications: !
Owner's name and address yf)C- IC((��KI J � P � aru i r-anJ
Architect's name
Builder's name
Location of building, No. Irl
What is the purpose of building?
If dwelling, # of units? Material of bldng?
wood Sfa6ure
Will building conform to law? Asbestos?
Estimated Cost j/_t00o , D0 City Lic.# - SV tate Lic.#o30O/63g,
(SJ Home Improv ent License #
Signature of Applicant / /1
SIGNED UNDER THE PENALTY OF PERJURY
DESCRIPTION OF WORK TO BE DONE
►Qe bui Ij daL)bl-,o olP(-
,ku,, t�a�c0i �s aS
V1w eaQe da Llna k2(5a-ice ands )L-a Code .
I rrJ r-6c i i'/I a
IO
r � C6nr
CQ �' (oor 00r�
Mail Permit to: Wi �� •iCl� � dl/lC(C� (V�C��
w1\(3- r
P
i
No. A't ward 5
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location 1r)
PERMIT GRANTED
/o,� 199 q
A roved
Building Inspector
City of Salem
3 0 BUILDING DEPARTMENT
FIELD CORRECTION NOTICE
LOCATION `! /Y�"�" d�9`� -jg4 - 5112�PERMIT I—�- - --`
ISSUED TO P 47e4 720 841
PERMIT MOLDER AND/OR ALL R�/ESP�O�NSI BI LE PARTIES.
NOTICE DELIVERED TO 0, rr -" au` n1�� Y `t ' SIT_; RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED—
Upon inspection, violations of the -A+:.. Sec ,� NOT FOR INTERNATIONAL MAIL
(See Reverse)
The following orders are hereby issued for their correction: F ,•�� Se tto
an_4 No.
.�+• r
PA,State and ZIP Code
it`•.+:./`.4-h'.ii'i""..e�C�l� �3'^Y" .A-..C.vr ./ .f.G 1"<
Postage
$
fe'"P"c`1'
yr 1
_ � � Certified Fee
-- Special Delivery Fee
-�A h�.� L Q L• // N"1 L, l.yaac.J .l 1 } s r ./r ;•f -y Restricted Delivery Fee
% • Return Receipt Showing
to whom and Date Delivered
ry • Return Receipt Showing towhom,
„ � ry rp,,., Date,and Address of Delivery
ro
•'+ TOTAL Postage and Fees $
a
Postmark or Date. '
PLEASE CALL FOR INSPECTION WHEN CORRECTIONS HAVE BEE c
25
AND APPROVAL BY AN INSPECTOR OF THIS DEPARTMENT IS REQUI A
ON OR BEFORE
VI
DATE B Y r ..e. r•'�./<r ;- - . .-�-= _:7r---.t'-+"�---- -
INSPECTOR
FILE COPY
ie .r
T City of Salem
^ y BUILDING DEPARTMENT
s�
FIELD4-CORRECTION NOTICE
LOCATION PERMIT N0. elf "•"Jf - `=-scJ,
ISSUED TO
PERMIT HOLDER AND/OR ALL RESPONSIBILE PARTIES.
NOTICE DELIVERED TO Ot T _e //-+ter dt'"y J") m '�n? = r
Upon inspection, violations of the / �t '''-�. �r' SSec l 7 �) were in evidence.
The following orders are hereby issued for their correction:
-..�<ci✓"; �J,y-'tn:il�y.�
!� / .�,�✓_• � �✓fig ��C-' .✓.�
J.
ce....�,�_ ..�i..✓-�-7ry� �1_.-T � � /'t_�����.'��-yL-,''e�z,��1� ''i/.,4w..�i <3..� �h'.t1�r-2�i—r,!
a . rrL•r� /� ' _�' /r� ti
.t4id .,CJ'�2
V /
4 �
y
PLEASE CALL FOR INSPECTION WHEN CORRECTIONS HAVE BEEN COMPLETED. ACCEPTANCE
AND APPROVAL BY AN INSPECTOR OF THIS DEPARTMENT IS REQUIRED AND MUST BE CORRECTED
ON OR BEFORE
DATE f- .. t i ( '1 �7 BY 'fdr..Cit('.�- . is fv'yF �J-•y�f_.�
INSPECTOR
FIELD COPY
H 0 SEEDER: ComPlete itecu 1,1,and 3.
Add yow addreu in L.e"RE7TIRN TO'•space on
� xele[se.
The f ng service is re=asted(:pork one) /� -
}1 whom and date dz.wered.,........_ rv4
Show to Rli=,Sate avd address of dciivery..._6
�� ❑ RESTRICTED UELSVERY
- Sh: to whom and date delivered............_f
RESTRICTED DELIVERY.
Show to whom,dace,and addfess o:ielivery.$—
(CONSULT POSTM ASTER FOR FERS)
2 ARTICLEA_ORESSEOTO:
02o 'MFT /cJeoj
� 3 ARTn:LE O RIPTION:
ml REGISTEiFEONO. C"P IFIEe NO. ENSURED NO.
Is P117/7zo /
Is
n�--
(Always obtain signature ofaddressoe a agend-
N —
I have received the artickdescribed above. -
m. SIGNATURE Addressee OAU arbed agent
D �/yJlA4�(t
1\ L 4...
y` DATE OF D",L,Vblky POSTMARK
m
0 & ADDRESSQGmmplMonlyK pu wd)
W� a
a
.1
m & UNARLE TU DMV£R IlEGAUSE: CLERKT+
WITIALS
r
s=
*Gpo:lgne Go
J r ,i' P•�ers
UNITED STATES POSTAL SERVICES
OFFICIAL aU&INI:SS
PE A PO
70
SENDER INSTRUCTIONS � USE Tp AVOID PAY yyggnr
Print your name,address,end ZIP Code in the span eta' ";j - or Posu'GETwd""""
O MA14
• Complete re
items 1,2,and 3 on the rern. �
• Attach to front of article if span parmiq
atheratim affix to back of article.
• Endorm article"Ratum Receipt Requested-
adjacent to number.
RETURN
TO
�/bSSIO�0,
(Dblyte ofse
65 M L�-/Ir c= t.�
(Street orP.O.Box)
(QtY ,and YAC Code