ROUTING SLIP/NEW SINGLE FAM HOME Jo-vd Lev td S /2d 6 6 - t�`ts-
CITY OF SALEM
ROUTING SLIP
New Construction
Certificate of Occupancy X
LOCATION L lith,AL ItA DATE
ASSESSORS Oe-A( DATE Fit Sid'
93 Washington St.
CITY CLER )ciL-c2- DATE 61/.3 id
93 Washington e.
PUBLIC SERVICES 2 / ATE g / ? L(( 9
120 Washington St.
WATER -6 DATE 8 ( 2 z/( 9
120 Washington St.
CROSS CONNECTION i?J DATE 6( Z LI( �7
5 Jefferson Ave PLANNING `�470jA411WDATE �/22 1
120 Washington St.
CONSERVATION kU yk-Iok DATE cot yy/l`)
120 Washington St.
ELECTRICAL DATE
48 Lafayette St.
FIRE PREVENTION DATE
29 Fort Avenue R
e
HEALTH hlai DATE 123) )el
120 Washington St.
BUILDING INSPECTOR DATE
120 Washington St.