5 PIEDMONT STREET - BUILDING INSPECTION eie
/3 Esselte
74520 402 P4
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�j'�Plans must be filed and approved by the Inspector before a permit will be granted.
No. City of Salem wara
IS PROPERTY LOCATED IN THE �c �t!
HISTORIC DISTRICT? Yes_No
IF SIDING, HAS ELECTRICAL
PERMIT BEEN OBTAINED? Yes 1/ NHome Phone
o
APPLICATION Bus. Phone #
FOR
PERMIT TO ROOF, REROOF OR INSTALL SIDING
Salem,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv applies for a permit to Yuild according to the follow sped ,cations:
Owner's name and address __ J� ��GC/ r/ t� i�J/`> Z� f'
Architect's name
Mechanic's name and address
Location of building,No.
What is the purpose of building?
Material of building? 9.1Jld CJS ASheSt05? /
If a dwelling,for how many families?
Will the building conform to the recints of the law? t
Estimated cost / '7o fin reCo tractors Lie.No.
Signature of applicant
REMARKS 51GNED UNDER THE
PENALTY OF PERJURY.
• lC,c�
No. Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location S / ! e-U m o h-t,
PERMIT GRANTED pp//
10/
Approved _
A A
41 ic�
/o c al(?tgding Infector
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City of Salem, Mass.
X ELECTRICAL DEPARTMENT
;r 9 44 Lafayette Street
6�
PAUL M. TUTTLE ,CITY ELECTRICIAN
DATE . . . . . . . . . . . .
To: INSPECTOR OF BUILDINGS
lem, Mass.
lectrical Contractor
(Signature of App Ic tl
1 --
/a ,21 67f-e-0 A.) Y
..........-Leo-� ' ,---10,4L--------------------------------------------------------
has signified their intention of performing the required electrical
work, viz: removing and later replacing all electrical wires, fixtures,
receptacles, etc., on outside of building located at:
Street
in conjunction with as wall siding installation to be made by:
.. e t? ?�ln 'S----------------------- -----------Siding Contractor
WU�UIC/7.
ISSUED BY---_-
- - -------------------------------------------------------------------
This is a requir ment, preliminary to the issuance of a permit
for the sidewall installation by the Inspector of Buildings.
ORIGINAL-SIDEWALL INSTALLER
PINK COPY-BLDG.INSP.
YELLOW COPY-ELEC.FILE