9 LYNN STREET - BUILDING INSPECTION 4 LYNN STREET
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Plans must be filed and approved by the Inspector
prior to a permit being granted r .5
CITY OF SALEM a
No. Ward
HISTORIC DISTRICT Y N Date `� C
IF FOR SIDING, HAS ELECTRIC Home Phone
PERMIT BEEN OBTAINED? Y N Bus. Phone
APPLICATION
FOR
PERMIT TO S` �
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the
following specifications: I
Owner's name and address T,;l GC !2
Architect's name
Builder's name ,TO* f 1> ,4,E�;O,AV
Location of building, No.� SYN
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What is the purpose of building? -
s„vc r_E Fh&,
If dwelling, # of units? _—/ Material of bldng?
GU'60D -
Will building conform to law? Asbestos? /V0
Estimated cost 6, City Lic.O State Lic.# -
�Acs c� l
Signature of Applicant
Soli UNDER THE PENALTY OF PELMY
DESCRIPTION OF WORE TO BE DONE /
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Mail Permit to: Ti N/ H 4666,6 T L.yNV SL <SALF9
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No. Ward
-
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location
PERMIT GRANTED
19 Lk
App
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