1 SCHOOL STREET COURT - BUILDING INSPECTION I School St. Ct.
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Plans must be filed and approved by the Inspector before a permit will be granted.
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IS PROPERTY LOCATED IN THE
HISTORIC DISTRICT? Yes No s ✓✓✓ �. —�
IF SIDING, HAS ELECTRICAL
PERMIT BEEN OBTAINED? Yes No l� Home Phone #
APPLICATION Bus. Phone #
FOR
PERMIT TO ROOF, REROOF O INSTALL SIDING
Salem,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv app ies for a pe�it o build according to the following specifications:
Owner's name and address t EU f O ri Z'i'-O-------------
Architect's name
Mechanic's name and address To 4111 v f ZZ770
Location of building, No.— .1 S
What is the purpose of building?
Material of building? L`" —U Asbestos? 4)0,
If a dwelling,for how many families'_
Will the building confopq to the requirements of the law?
Estima�ed cost ou ont cto ic./ o. �`{ Jr z- I f�.
Signature of applicant
EMARK' SIGNED UNDER THE
PENALTY OF PERJURY.
No.�� 'Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location
RMIT GRANTED Cy/
Approve
Building Inspect
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