ROUTING SLIP FOR NEW, SINGLE FAM. HOME (003) II (Ai OCcito 12oc�C�
CITY OF SALEM
ROUTING SLIP
New Construction
Certificate of Occupancy X
LOCATION (I lA 00ck c s (La. DATE �3 o
ASSESSORS DATE
93 Washington St.
CITY CLERK DATE
93 Washington St. n
PUBLIC SERVICES ;�i'/, (- DATE 3J2 (
l20 Washington St.
WATER keb., ^-' DATE 3/2-7— L0
120 Washington St.
CROSS CONNECTION (DATE d271-12'
Jefferson Ave
PLANNING DATE
120 Washington St.
CONSERVATION DATE
120 Washington St.
ELECTRICAL DATE
48 Lafayette St.
FIRE PREVENTION DATE
29 Fort Avenue
HEALTH DATE
120 Washington St.
BUILDING INSPECTOR DATE
120 Washington St.