ROUTING SLIP FOR NEW, SINGLE FAM. HOME (005) pl, /3-- - c, i- 6 . --575'
70 ` 51 2 (3cssol-rn ,5)---
CITY OF SALEM
ROUTING SLIP
CZ
New Construction
Certificate of Occupancy �
LOCATION /I &,6p11,,, J
,- DATE i AA
ASSESSORS , L e? DATE 7/6/(9
�� 93 Washington St.
CITY CLERK • v DATE 7/1// 9
93 Washington St.
PUBLIC SERVICES DATE 0
120 Washington St.
ri
WATER A4 DATE
120 Washington St.
CROSS CONNECTION caz
DATE i
5 Jefferson Ave
PLANNING DATE / 1
(120 Washington t.
CONSERVATION 4 1 d 2 DATE G jci
120 Washington St.
ELECTRICAL DATE 7/0;
48 Lafayette St
FIRE PREV TION DATE li k
29 Fort Avenue) f'
r
/' I+ ��� DATE 7 / 4HEALTH
120 Washington St.
BUILDING INSPECTOR DATE
120 Washington St.