5 NORTHEND AVENUE - BUILDING INSPECTION +I 5 NOFIIIRH D PVE.
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Plans must be Sled and approved by the Inspector before a permit will be granted.
City of Salem Ward
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Is Property Located in the
Historical District? Yes_ No--�4 '7�/c/ Q'tv
H Home Phone# 7`7 - K
Is Property Located in a
Conservation Area? Yes_ No �'+ - Bus.Phone#
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APPLICATION
FOR
PERMIT TO CONSTRUCT POOL, MCIf'3 AND SMAS
Salem, Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build ac/5ording to the following specifications:
Owner's name and address eO,�e, 'A V P+' 7- 0A-NA/e--
Architect's name
Mechanic's name and address
Location of building, No. 5 Q
What is the purpose of building? S
Material of building?
If a dwelling, for how many families? C
Will the building conforudito the requirements of the llaw?
Estimated cost 0 — a 'e- ntractors Lie. No.
Signature of applicant .
- p =KS nd�er the Penalty of Perjury
/L��LLCiJ G(/��DZl 4;k— OA—
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N� Ward
APPLICATION FOR
PERMIT TO CONSTRUCT
SWIMMING POOL
Location
PERMIT GRANTED c
195
Building Inspector