ROUTING SLIP FOR NEW, SINGLE FAM. HOME H Cry f cl-c:
CITY OF SALEM
ROUTING SLIP
New Construction A/
Certificate of Occupancy
LOCATION U Soutl, 2:ci,c DATE
ASSESSORS DATE
93 Washington St.
CITY CLERK DATE
93 Washington St. ��
PUBLIC SERVICE , ----C DATE Cg(3
120 Washington St.
WATER ( /-67 DATE ('(3 /2 '
120 Washington S .
CROSS CONNECTION ATE to/3 /z`
5 Jefferson Ave
PLANNING DATE
120 Washington St.CONSERVATION,Utet//�'�,mt°,�DATE l/
0%/okC�O
120 Washington St. Cl
ELECTRICAL DATE
48 Lafayette
FIRE PREVENTION DATE
29 Fort Avenue
HEALTH DATE
120 Washington St.
BUILDING INSPECTOR DATE
120 Washington St.