39 WISTERIA STREET - BUILDING JACKET r 39 Wisteria St.
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Plans must be filed and approved by the Inspector
prior to a permit being granted
CITY OF SALEM
No. CITY
Ward
s 31 9y
HISTORIC DISTRICT? Y N _ �� Date
IF FOR SIDING, HAS ELECTRIC ' y � Home Phone :Zsri -3,7 9'S
PERMIT BEEN OBTAINED? Y N s Bus. Phone Sia,
APPLICATION
FOR G
PERMIT TO A/
c G /Qs: 1<tl
TO THE INSPECTOR OF BUILDINGS: /
The undersigned hereby applies for a permit to build according to the
following specifications:
Owner's name and address S
Architect's name ✓/J
Builder's name / , /
/U I C� /<B G� S r k (.f .c2o d
Location of building, No.
6—(cL/' P�C'�-oil--I rF
What is the purpose of building?
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If dwelling, # of units? Material of bldng? (110U
Will building conform to law? ! '-5 Asbestos? U
Estimated Cost � CI City Lica/ FLo2�,--State Lic.#
Home ImprovemeAt Licens #
Signature of Applicant
SIGNED /UNDER THE PENALTY OF PERJURY
DESCRIPTION OF WORK TO BE DONE /
t ci! S
Mail Permit to: �I, l� ^ /1 izl�� VQ
SCd'tT4�
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No. warm
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location l v r
es-e r i q
PERMIT GRANTED
19
Appro ed
0 cxI Br
g 1 spector