3 OUTLOOK HILL - BUILDING INSPECTION
Cq 69-0
Plans must be filed and approved by the Inspector before a permit will be granted.
No - City of Salem Ward 2
IS PROPERTY LOCATED IN THE
HISTORIC DISTRICT? Yes No �/ s
IF SIDING, HAS ELECTRICAL
PERMIT BEEN OBTAINED? Yesi No Home Phone # 53
APPLICATION Bus. Phone # S 3(
FOR
PERMIT TO ROOF, REROOF O INSTALL SIDING
Salem,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv applies for a permit to_build-�jccor�77mg to the following specifications:
Owner's name and address __ Dnm 2.hr C' _ I- 'f.Y l���[�
Architect's name
Mechanic's name and address i 16 61
Location of building,No. '-`l O. m6.
What is the purpose of building?
Material of building? 1 J i Q ASbEStOS?
If a dwelling,for how many families?
Will the building conform to the requirements of th law? \/
Estimated cost o Contractors Lie.No.
Signature of applicant ,Cy.,00 C y.c&.
KS /----SIGNEEY UNDER THE
2-9 PENALTY OF PERJURY.
1) 12 ,0t 9
02
, y
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location 3
PERMIT GRANTED
19 /
Approv ,�
la dot/ i ing In e r