6 LORING HILLS AVENUE - BUILDING INSPECTION (2) 6 Loring Hills Ave.
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Plans must be filed and approved by the Inspector
prior to a permit being granted �J
CITY OF SALEM �.
110- (4 Ward �!
HISTORIC DISTRICT? Y 9 Date 1
IF FOR SIDING, HAS ELECTRICS Home Phone
PERMIT BEEN OBTAINED? Y N N/4, Bus. Phone 617 'K SS?'� ..
APPLICATION
FOR x
PERMIT TO
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the-----
following
he_following specifications: '`
Owner's name and address o p- t Q& Rk Wt) C ofJ 00 ESsso C. "ma y
Architect's name
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Builder's name
�,otlfn[=`St`s- /1CLLa 02, E-T �-
Location of building, No.� //// p P ,«-
What is the purpose of building? CMe
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o�fJC� S
If dwelling, # of units? Material of bldng?
Will building conform to law? Asbestos?
Estimated cost City Lic#� r2ct 2 State Lia#
Signat re of Applicant
SIGNED UNDER THE PENALTY OF PERJURY_.
DESCRIPTION OF WORE TO BE DONE
Mail Permit to:
[[d)�"
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1�}" dF f k"Ft 14 x w rJ-, try '°
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No.41044 Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Locatlon
PERMIT GRANTED
19
App" ed
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