11 SUMMIT STREET - BUILDING INSPECTION f
-. /-/)- N3
Plans must be filed and approved by the Inspector before a permit will be granted.
No U City of Salem Ward
Is Property Located in the
Historical District? Yes_ No 3
KHome Phone#
Is Property Located in a
Conservation Area? Yes_ No Jy'��'ct y� Bus.Phone#
Saar
APPLICATION
FOR
PERMIT TO CONSTRUCT POOL, DECKS AND HEDS
Salem,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following specifications:
Owner's name and address C' C I/-�F /,JI
Architect's name / 4c?e—
Mechanic's name and address r L E R9 a 5 kA, A
Location of building, No. jj/hZ✓n •T 7 )W,'-W-, 46 0
What is the purpose of building? 4,q-6,- -he d
Material of building? A"W 4
If a dwelling, for how many families? Afld `�
Will the building conform to the requirements of the law? 7Q.Is
Estimated cost - c-o r Contractors Lie. No. O G I Ail-rt
Signature F applicant l' iCd'h fC�r�Ti�ivi
Signed Under the Penalty of Perjury
�- REMARKS
hA 77z2/='ol2 �
No(� � Ward__
APPLICATION FOR
PERMIT TO CONSTRUCT
SWIMMING POOL
Location
PERMIT GRANTED
n. is 5,4-
App ed
Building Insp for
1