2 MAPLE STREET - BUILDING INSPECTION 2 Maple St. _
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No. `r l i1 '7 1- Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location a
PERMIT GRANTED
19�j�
Approve
Building lnspe r
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Plans must be filed and approved by the Inspector before a permit will be granted.
No. u1 9 City of Salem /10Ward
IS PROPERTY LOCATED IN THE b ;
HISTORIC DISTRICT? Yes No i
+, 9
IF SIDING, HAS ELECTRICAL
PERMIT BEEN OBTAINED? Yes No Home Phone #
APPLICATION Bus. Phone #
FOR _
PERMIT TO ROOF, REROOF OR TALL SSIDING
Salem,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv applies four`a per�ji/p(jto build according to the following specifications:
Owner's name and address J-Ztt_lf�—TVA;'_c 1K X /t1 I MA f�L/L S�
Architect's name
Mechanic's name and address p k- ! �4/I- ✓Ls C)
Location of building,No. L /`14 h C E S
What is the purpose of building? OA;Z rAli YlGcz _
Material of building? in/0 d D Asbestos?
If a dwelling,for how many families". _
Will the building conform to the requirements of the law?
Estimaiedcost �eo ,e6 Contractors Lic. No. ®��l d— (G64SG9
Signature of applicant
REMARKS SIGNED UNDER THE
%d1SIA-LL V'(Nyl_ A-,y/6 IPzic ,Z,yevS PENALTY 01 PERJURY. '
( r�f .�°-�.• � a-.(i �x - 1•,L \ ( �"1'G.v i�/ - -•�. � .:, � � -:. � e w. n ..-c>,. .l n?
City of Salem, Mass.
s
ELECTRICAL-DEPARTMENT
r 44 Lafayette,Street
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PAUL M. TUTTL•E ,CITY. ELECTRICIAN
r`
r 41
DATE. . . .
To: •INSPECTOR, OF BUILDINGS -
Salem Mass: ^ „_
✓ /__11 Electrical Contractor. .
..._ .-_-`--"'--i�...... .. ............r.• I;j.-. ,
(Signature of Applicant)
F: , ,
-has signifieO their intention of performing the required electrical
f work,+viz: removing and later replacing-all electrical wires, fixtures,
receptacles; etc.,-on outside of building located at:
i/> t" Street :
--- -• .....: .................:......................................... ....--
m.conjunction with a will siding installation'to be made by`.
Y..� ../:�! X,.': 1:....-.. Siding;Contractor
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.
ISSUED BY
..... ...... _.. ....... ...
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This.is a requirement, preliminary to'the;issuance,of a.permit
for'the sidewall installation by the Inspector of Buildings.
_ ORIGINAL-SIDEWALL INSTALLER
. PINx`COPY-OLDG.;INSV.
I_ YELLOW COW-ELEC. FILE
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