17 1/2 WILLOW AVENUE - BUILDING INSPECTION 17 *1/2 'Willow Ave.
4
Plans must be filed and approved by the Inspector before a permit will be granted.
NoSL9�_ City Of Salem Ward
Home Phone #
Bus. Phone #
APPLICATION
FOR
PERMIT TO INSTALL A SOLID FUEL BURNING STOVE
Salem,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applif s�(oca permit . build according to the following specifications:
Owner's name and address /��� F
Architect's name
Mechanic's name and address
Location of building,No. /. , —
What is the purpose of building?', t ^ /
Material of building? _ �A
If a dwelling,for how.many families?
Will..the buildi conform to the requirements of th law?
Estimated core 0 O Con tors Lic.No.
Signature of applicant
R MARK
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