0100 HIGHLAND AVENUE S/O PLUMBING CITY OF SALEM
PLUMBING AND GAS INSPECTOR
DATE: A DRESS
LICENSEE'S NAME/COMP NAME
LICENSEE'S CONTACT NUM#E*A
PERMIT # `
TYPE OF INSPECTION ❑ PLUMBING 13 GAS
INSPECTION TIME
❑ ROUGH 0 FINAL ❑ CAS TEST ❑ OTHf R
• z 4�TU r tdMIANTS
•
•
•
•
•
PERMIT OSED nO
MICH J GUIDA SR
PLUMBING & GAS INSPECTOR