6 RIVER STREET - BUILDING INSPECTION 6 River St;.
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Plans must be filed and approved by the Inspector before a permit will be granted.
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City of Salem `� , wary
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IS PROPERTY LOCATED IN THE ;t
HISTORIC DISTRICT? Yes_No- s
IF SIDING, HAS ELECTRICAL Home Phone #
PERMIT BEEN OBTAINED? Yes No
APPLICATION Bus. Phone #
PERMIT TO ROO REROOF OR INSTALL SIDING
Salem,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv applies for a permit to build according to the following specifications:
Owner's name and address PAu t Jh f12YY'[ I -T9 t c-n
Architect's name 4,�/"k-
Mechanic's name and address 'Y V' J J��cF 1-44Al i E /�9.N(eee 5/- S•9 CC-.m.
Location of building,No. C 9 cyeR 5t-
What is the purpose of building? QC5. _
Material of building? L-�k 0 Asbestos?
If a dwelling,for how many families^. _ . ACL) 0
Will the building conform to the requirements of the law? S
Estimated cost Contractors Lic.No.
Signature of applicant
REMARKSaSIGNED UNDER THE
/zsPENALTY OF PERJURY.
No. Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location
PERMIT GRANTED
19
Approve
guiiding tnsp@Etor
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