2 MESSERVY STREET - BUILDING INSPECTION �l'j �SSS.r V �%r£ c�
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a,
Plans must be filed and approved by the Inspector before a permit will be granted.
No.N, 7 _C/ City of Salem Ward
IS PROPERTY LOCATED IN THE
HISTORIC DISTRICT? Yes_No w a
IF SIDING, HAS ELECTRICAL 4c< <a�
PERMIT BEEN OBTAINED? Yes No Home Phone # 7 �� — a?3oS
APPLICATION Bus. Phone #
FOR
PERMIT TO ROOF, REROOF OR INSTALL SIDING
Salem,Mass., Ocl . 131 / C-/g 3
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv applies for a permit to build according to the following specifications:
Owner's name and address _ I"so-)� 4 &A A- S i ro 1 S
Architect's name
Mechanic's name and address
Location of building,No. TW d Me Se/e V/ -S'7—
What
'TWhat is the purpose of building?
Materiel of building? Asbestos?
If a dwelling,for how many families.^_ / t^) O
Will the building conform to the requirements of the la%? _ y els
Estimated cost -F Contractors Lic.No. (11) A)ER L.T
Signature of applicant ^-�
RIEMALRKS SIGNED UNDER THE
li
�-O u fv,,e,a PENALTY OF PERJURY.
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No. Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location
PERMIT GRANTED
0<-,� ,
Approved
(� it i g Insp cto