82 BRIDGE STREET - BUILDING JACKET 1
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Plans must be filed and approved by the Inspector
prior to a permit being granted
CITY OF SALEM
No. �j// � Ward �1")
7 �ONUIT� (7�
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HISTORIC DISTRICT? Y v '@ Date
IF FOR SIDING, HAS ELECTRIC # ° Home Phone 9Z�ZQOZ
PERMIT BEEN OBTAINED? Y N �9s Bus. Phone y7-70�Z
APPLICATION
FOR r I /
PERMIT TO p r'G � / 3 e M o ✓2 R� P% / l O , �o✓
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the
following specifications:
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Owners name and address
Architect's name 5
Builder's name ODD A . , / 1 1:�t /� �
Location of building, No. v� rL75T C�h
What is the purpose of building? Dr✓����
If dwelling, # of units? Z Material of bldng?
Will building conform to law? Asbestos?
Estimated Cost#7—CW City Lic.# State Lic.# o4 726(,
Hom Ampro e t License 41 114837
Signature of Applicant lllT/u
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SIGNED UNDER THE PENALTY OF PERJURY
��JJ� DESCRIPTION OF WORK TO BE DONE
K( W G&"SE &(SPA&
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Mail Permit to:
1
No. �V Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
1QC9t100 jam( r ; (T Q _
PERMIT GRANTED
19
Approve, o
Approved0 .
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o c.a.\ inp Ins cfor