12 ROCKDALE AVENUE - BUILDING INSPECTION 12 ROCKDALE AVENUE
Plans must be filed and approved by the Inspector before a permit will be granted.
No. /D/ 9,3 City of Salem Ward
IS PROPERTY LOCATED IN THE
-
HISTORIC DISTRICT? Yes No s
IF SIDING, HAS ELECTRICAL— Home Phone # 5�87'f IST
PERMIT BEEN OBTAINED? Yes No
Bus. Phone #
APPLICATION
FOR S � 4s— �'T PDc/J C GC,AIZ
PERMIT TO ROOF, REROOF OR INSTALL SIDING
Salem,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv applies�f��o,r,„a per it to build according%/Qjhe f l{{h�o,w,i g specifications:
Owner's name and address AdJAM —� � t9G✓�1�� I
Architect's name Ll1J //J j9'l Ll&2
Mechanic's name and address
Location of building,No. _.
What is the purpose of building? L
Material of building? " OC Asbestos?
If a dwelling,for how many families°
Will the building"morin to ther quirements of the law? Yf
Estimated cost o0 C actors L' . o. T
Signature of applicant
REMARKS b[LiPCiJ UNDER THE
PEN LTW PERIU,RY)
No,�--,-92 Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location /Z Q D c ( Q. A
PERMIT GRANTED
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App
gilding napector
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