141 LORING AVENUE - BUILDING INSPECTION ,,
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Plans must be filed and approved by the Inspector before a permit will be granted.
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No. J��-9 City of Salem Ward _ /
IS PROPERTY LOCATED IN THE 4. —/
HISTORIC DISTRICT? Yes No a
IF SIDING, HAS ELECTRICAL
PERMIT BEEN OBTAINED? Yes No Home Phone # 7yj- 55-r
APPLICATION Bus. Phone #
FOR
PERMIT TO ROOF, REROOF OR INSTALL SIDING
Salem,Mass., /I /as / �'/� cI `%
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv applies for a ermit to uild according to the followin specifications:
Owner's name and address
Architect's name - 1—.— Lz �
Mechanic's name and address i0
Location of building,No.
What is the purpose of building?
Material of building? _ o+v Asbestos?
If a dwelling,for how many families^. .
Will the building conform to the requirements of the law?
Estimated cost OUO Contractors Lic.No.
Signature of applicant
R MAR16 SIGNED UNDER THE
PENALTY OF PERJURY.
No. Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location
PERMIT GRANTED
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Approved
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