30 RAYMOND ROAD - BUILDING INSPECTION P
Plans must be Cited and approved by the Inspector before a permit will be granted.
No. NO / I City of Salem Ward
IS PROPERTY LOCATED IN THE :+
HISTORIC DISTRICT? Yes_No
IF SIDING, HAS ELECTRICAL f�?��mfad*� g
PERMIT BEEN OBTAINED? Yes✓ No Home Phone
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 build ac ording to the followiW,$specifications:
Owner's name and address Mt2 S �/£NF1 D(� _Mor
! 3 d Kf})rMn�✓fLt2� S�LE�F o/q70
Architect's nameQ
Mechanic's nameand ad! mAUPEAl'L( �6-2�/5' 252' D LL is {y 4-, 111A
Location of building,No �d A0",k "1) 7�G�1'( /L119 7
What is the purpose of building? ' tat fFL4-(&4
Material of building? -U)=. 4>t�/A! �= )Aoy ML Asbestos?
If a dwelling,for how many families?_ O A/F–
Will the building conform to the requirements of the law? �
Estintwed cost C tract Lic. No.
Signature of applicant
REMARKS 'IGNED UNDER THE
PENALTY OF PERJURY.
� t � e � raw,, � T
No. I�ti -9�f Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location r 0 �C t/�au r 0 r
J
PERMIT GRANTED
r i
19
App
Bu ding/nspec r
` dam
0" fl