13 ABBOTT ST - BPA-05-27 PICTURE WINDOW IKAW1 HiST-BE f iEG4 #D APPROVED BY T44E
.1U5Pf,GTDB PF,{I0R TP A.PERMT.BFJNG GRANTED
_ CITY OF SALEM
\ °ND a:
No. - \ ;F.>• '� Date
JJJ h �.� x
I �i t g Ward
\'�fLYpryg W, Zoning District
Is Property Located in Location of
the Historic District? Yes_No s Building t WL<J—
Is Property Located in
the Conservation Area? Yes No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Co struct Deck, Shed,, Pool,
Repair/Replace, Other: Shed,, Pool,
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 M►1�-P \SYl rg:;c4
Address & Phone
Architect's Name
Address & Phone ( )
Mechanics Name RNA- �jn� Jtr�s
Address & Phone ` �✓ Pn r 0 4t �b/c 7YY7 (go))
What is the purpose of building? W A Q'A) Q.-664 e"rll
Material of building? If a dwelling, for how many families.?
Will building conform to law? Asbestos?
Estimated cost�Itl 51/) T\ City License x State ense
� >t
Home Irevesent
` «r'LLL.JJJ Lic. #
Si nature o A plicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
hull �rL1c-te1
MAIL PERMIT TO: n�1),e
t.
No.\ �
APPLICATION FOR
PERMIT TO
LOCATION U
PERMIT
yGRANTED
19
APPROV�D
INSPECTO OF gUILD114GS