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13 1/2 HERSEY STREET - BUILDING INSPECTION�� 9�� rs� LL <si�f�' 03 Gd Plans must be filed and approved by the Inspector prior to a permit being granted CITY OF SALEM No.��/�� Ward HISTORIC DISTRICT? Y N� E Date IF FOR SIDING, HAS ELECTRIC 'a Home Phone PERMIT BEEN OBTAINED? Y © Bus. Phone meSl -20lq APPLICATION FOR PERMIT TO Ar ��v TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's name and addresso+-e- Architect's name �d Builder's name Location of building, No.-/,, ! /z Aft- V S.2 t, S'fi What is the purpose of building? If dwelling, # of units? �—Material of b61_dng? X109 Will building conform to law? y&5 Asbestos? Estimated cost J ? 7 p City Lic.# State Lic.# c4:/000(C> Signature of Applicant SIGNED UNDER THE PENALT OF PERJURY DESCRIPTION OF WORE TO BE DONE �'e�rtic (mss �(ywi • a v��- ,, �f� Cud l'�i(,ULz s��s �a �Iec K Vo f ved Mail Permit to: No. wars APPLICATION FOR PERMIT TO ROOF REROOF OR INSTALL SIDING Location PERMIT GRANTED App ved 0 Building Inap or