62 UNION STREET - BUILDING INSPECTION 62 Unian St.
!r
Plans must be filed and approved by the Inspector before a permit will be granted.
No. City of Salem Ward_/
IS PROPERTY LOCATED IN THE �c � ;
HISTORIC DISTRICT? Yes No
IF SIDING, HAS ELECTRICAL
PERMIT BEEN OBTAINED? Yes No Home Phone #
Bus. Phone #
APPLICATION
FOR
PERMIT TO ROOF, REROOF OR INSTALL SIDING '
Salem, Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv applies for a permit to build accordJ'ng to the following specifications:
Owner's name and address �. ` �/ Q
Architect's name
Mechanic's name and address ff"F o�.l� �O�r Pet�s Q P
Location of building,No. �� . O
What is the purpose of building? _
Material of building? (,J Asbestos?
If a dwelling,for how many families^. _
Will the building conform to the requirements of the law?
Estimated cost C tractors Lie.No.
'Signature of applicant
RE RKS 51GNED UNDER THE
Ne-w CDU hM mor- PENALTY OF PERJURY.
No. Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
LocationO, U h"", 5-;c--
PERMIT GRANTED
oc^�-- 1-0- 19!-3. _
Approved/ /�� nI,+Lk
f uilding I pector
r `l/ ' >