24 ABORN ST - BPA-06-823 RPR SM FIRE DAMAGED ROOF pL.MSI T.BEfN£s4AG APPROVED BY T44E
WpZC=PWR TOA.PERMIT Af MG GRANTED
CITY OF SALEM
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BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, Other:
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
specific4tions:
Owner's Name Sc A, �d M
Address & Phone (� I'm 7f 9 -
Architect's Name N
Address & Phone
Mechanics Name
Address & Phone ;`�' �j r h"� �'a� 7 LZa
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Bm' Iaptawmant
Li`. 0 I , ignature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
K� rb r nS
MAIL PERMIT T0:
No.
APPLICATION FOR
PERIMT TO
LOCATION.
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PERMIT GRANTED
APPR VF-D
OR OF BUILDINGS