10-12 WARD STREET - BUILDING INSPECTION 10-12 WARD STREET
Plans must be filed and approved by the Inspector before a permit will be granted..
No. 99 N City of Salem Ward_I
IS PROPERTY LOCATED IN THE
HISTORIC DISTRICT? Yes No P v
IF SIDING, HAS ELECTRICAL
PERMIT BEEN OBTAINED? Yes No Home Phone # S Ori 7y1 62
APPLICATION Bus. Phone #
FOR
PERMIT TO ROOF, REROOF Ok NSTALL SIDIN.W
Salem,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv applies for a permit to uildcording cations:
Owner's name and address _e1--.�/�a
Architect's name ''//
Mechanic's name and address c_t]re +� Z�Tr�z--ate Zv 01,77e�t
Location of building,No
What is the purpose of building?
Material of building? � � Asbestos?
If a dwelling,for how many families^.
Will the building conform to the requirements of the IW/,? /�
Estima�ed cost _ — Contractors Lie. No. �i 4 FJ�r /?/
Signature of applicant
REMARKS SIGNED UNDER THE
PENALTY OF PERJURY.
No. Ward_
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location ) 2 iv c-r- d
PERMIT GRANTED
4/ ( J 199 /
Approve
y