6 ABBOTT ST - BPA-2004-24 REMODEL KIT & BATHS 2
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�1.9ttQS**ST- Ef4L{- � !d i PPROVEfl 8Y T*IE
T I JOA TD,A.P T 13ENG GRANTED
CITY OF SALEM
Dete /-I0-03
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Is Property Located In Location of 6 A b 6�7t Sf
the Historic District? Yes,_No_ Building
Is Property Located In
the Conservation Area? Yea No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) f Install Siding, Construct Desk, Shed, Pool,
ep it Re lace Other: eRt A Po- / /CT-e!a
PLEASE FILL OUT LEGIBLY &COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications:
Owner's Name G vrTi $ J - DRA Go►U
Address & Phone 6 g�b afi (97$) Tula — 147 ,
Architect's Name
Address & Phone
Mechanics Name G y rT iS J b r R 9 d f'V
Address & Phone � t- S91om (128) 7uu - IL I!r
What Is the purpose of building? R L Po i r a. 1,16 rodmg / F--n i S hi Ki t Gh-em
Material of building? W oo t3 N a dwelling,for how many(families? h e
Will building conform to law? N V
161S Asbestos?
Estimated cost IJ,dO� 0 O O City License t N P' state License k
Home Improvement
9 5 q 3 i 3 Li`' 11 7 XSignature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
R-entivaTtdN o 4_ I bath roow>S R�i�+oye N�<T�ig
we6iS, Flow + Ce; liwyt ) ?'wST9U Vewt -to ` o Sldew
1 Iv$v 1 g too K/ *y C-rr w 4 j (s + C e i (i t1/S t? 6V S„r�U IC1aClV lvPf
L�e� I; S t'G �� tV f S (� k i tG� e►�J I 1/Sf9(( (/ji%,eTS
MAIL PERMIT TO: A D)oti- st 15 Q INN^ `11 q" 6100 -410-�,
t
C�
No. 7 L4
APPLICATION FOR
p_ PERMIT TO
LOCATI
PERMIT,GRANTED
APP,ROVF-D ;
INSPE%-TOR OF BUILDINGS