32 PRINCE STREET - BUILDING INSPECTION ?2 PRINCE STREET I
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UPC 90333
No.153L-3 ts,
HASTINGS, WN
Plans must be filed and approved by the Inspector
prior to a 'permit being granted
CITY OF SALEM ///111
No. Gy// Ward �r�3
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HISTORIC DISTRICT? Y ?'>
Date�2:�
IF FOR SIDING, HAS ELECTRICI / c Home Phone
PERMIT BEEN OBTAINED? Y N ��o�MIN64° Bus. Phone`�27— SgL�
APPLICATION
FOR �
PERMIT TO
TO THE INSPECTO OF BUILDI GS:
The undersigned hereby applies for a permit to build according to the
following specifications:
Owner's name and address
66Z71Ry0( &nw,J 3z Y'i?in.C.E i
Architect's name �
Builder's name
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Location of building, No.
.39 IA—
What is the purpose of building?
((JLJFJL.�J�
If dwelling, # of units? If Material of bldng?
Will building conform to law? UC5 Asbestos? No
Estimated Cost 4 oco City Lic.# State Lic.# o.1-7.7 o
Hom Improvement License li 9 &;:_7Signature of Applicant //� 4
SIGNED UNDER THE PENALTY OF PERJURY
DESCRIPTION OF WORK TO BE DONE
RPAAcF z 570Z'/ �E62C!-/VS (//A-)YC. 5)1)kF— NOjSE
Mail Permit to:�� —�
I
No. Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location
PERMIT GRANTED
19
Approv d
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