14A RUSSELL DRIVE - BUILDING INSPECTION Gsi
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Plans
�must be tiled and approved by the Inspector before a permit will be granted.
No. �- x Z. City of Salem Ward 7— Z
IS PROPERTY LOCATED IN THE
HISTORIC DISTRICT? Yes_No V
IF SIDING, HAS ELECTRICAL Home Phone # 7 `f y— O
PERMIT BEEN OBTAINED? YesNo
1 ,6
APPLICATION Bus. Phone #
FOR
PERMIT TOSS Rf ,0& INSTALL SSG
Salem,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv applies for a permit to built3 according o the following specifications:
Owner's name and address __n kia-r��-S �'_ a�a. e 1 �G
Architect's name N/1517
Mechanic's name and address
Location of building,No. —_CA % C i ✓ P
What is the purpose of building? L✓ e- �-C
Material of building? Iw')0 0 Asbestos?
If a dwelling,for how many families^. _ I'1 e–
Will the building conform to the requirements of the law? Ile
i
Estimated cost Contractors Lic No.
Signature of applicant
REMARKS SIGNED UNDER THE
PENALTY OF PERJURY.
No IP, jpx;?: e) r 'Dl v i�""n
Nc) Ward _
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location / (� „��UC�!( �
TT /�, ✓�
PERMIT GRANTED
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Ap rov d -,
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