4 SCOTIA STREET - BUILDING INSPECTION ,�/ jGd�� ai S7a � fi%
Plans must be tiled and approved by the Inspector before a permit will be granted.
No.,6 -�3 City of Salem Ward_
IS PROPERTY LOCATED IN THE y -
HISTORIC DISTRICT? Yes No_ s
IF SIDING, HAS ELECTRICAL
PERMIT BEEN OBTAINED? Yes No Home Phone # 3 -
APPLICATION Bus. Phone # �;7 3
FOR
PERMIT TO ROOF, 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: J
Owner's name and address _ /� G� F�_-!—L-r 1 j n �. o�f�°l -e,—
Architect's
Architect's name —� �—
Mechanic's name and address/1 /:h � y>1 C,�c-,C, ri`t t l F,K G-L 11.L - e-
Location
e Location of building,No. r^-9c- 4 S-A
What is the purpose of buildinTTg? iet5 I _
Material of building? t.y G 0 _ Asbestos?
If a dwelling,for how many families'_
Will the building confonn to the reAuirements of the law?
Estimated cost a,o,G tL Contractors Lie.No. d 2
Signature of applicant 1
MAR SIGNED UNDER THE
PENALTY OF PERJURY.
-,• s � u..� n ow �n �T— oa
No�21 -9 Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location 4�z ,101
PERMIT GRANTED
AQeeG(i
zL/ Building Inspector
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