188 OCEAN AVENUE WEST - BUILDING INSPECTION Plans must be filed and approved by the Inspector
S �`Y prior to a permit being granted
V�1 CITY OF SALEM V
No. �J �7 / Ward 3
HISTORIC DISTRICT? Y N Date
IF FOR SIDING, HAS ELECTRIC Home Phone � try —76 yS
PERMIT BEEN OBTAINED? Y N Bus. Ph 7`rY —Poov TrTis"po
Phone
APPLICATION � 'l 5�1I-1d/��
FORPERMIT TO
,J V
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the
following specifications:
Owner's name and address j-S jf/?,Fy �2��� �di�QG/�/f�7 ,lU�z fives%
Architect's name
Builder's name
Location of building, No.
What is the purpose of building?
If dwelling, # of units? -� terial of bldng?_c t^
Will building conform to lav? Asbestos? y
Y
Estimated cosl�j� � City Lie.# State Lie.# -
Signaattu_re of Applicant / ;
SI THE P TY OF PERJURY
DESCRIPTION OF WORE TO BE DONE
it
7
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Mail Permit to: S-fFfgt,yh C2��s Grp
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No.,50 Cl 4 Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Lecadon Oceo t-)
A ue . &t)e5t
PERMIT GRANTED
19
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Approved '