21 REAR ABORN ST - BPA-05-175 BUILD DECK Cr�=V I05-y
'P�iMtl6T9Ef A9401D APPROVES BY 774E
IWPZCMB PIBDR TD A PEl%Mff BEING GRA W*D
N1��� S CITY OF SALEM
v \ Date
War
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Is Property Locded in Location of Me H Waf¢Dbtda? Yes No_ mo9lding Z L /I
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Is Property LAceted In 5A
:• the Cormrvalon Area? Yes_
Permit to:
BUILDING PERMIT APPLICATION FOR:
(Circle whichever apply) Roof, Reroof, Install Siding, Constru hid, Pool,
Repair/Replace, Other.
PLEASE FILL OUT LEGIBLY A COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build accordkig.to the following
speciflcations:
Owner's Name 'PE7r-/�
Address & Phone
Architect's Name
Address & Phone f
Mechanics Name
Address & Phone
Whd Is the prxpoee cf tMllOW
Mdow of tartidrtp?Woob It a dweb for how mmlIy famaes?T
WO WON oordorm to law? Aebedos? N�
E0nded cost Z C CRY LI M"0 l3tete Licence e
tl�a Z
Igro�awent
Sign e. Applicant
SIGNED UNDER THE TY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
MAIL PERMIT TO:
mom Cr, 51916M 6/970
.t.
No.
APPLICATION FOR
PERMMT TO
Pet
LOCATION
PERMIT GRANTED
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AP vFD
INSPECTOR OF BUILDINGS
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