3 ALBA AVE - BPA-07-960 REPLACE 12 WINDOWS No. —1 �j�
APPLICATION FOR
PFp TO
LOCATION
3
PE MIT GRANTED
APPHOVfD
�*ECTQCM OF BU DINGSel
CERTIFICATE OF OCCUPANCY '
YES \ -
DATE:
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PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building � �I GjG� f�V 2 h!/e—
Building Permit Application For:
`(Circle whichever applies) Roof, Reroof, Install Sid'n Construct Deck, Shed,Pool
Addition, Alterati Repair/Replace oundation Only, Wrecking
Other:
PLEASE FELL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
To the Inspector of Buildings:
The undersigned hereby applies for a per-unit to build according to the following specifications: nn LL
Owners Name: 0dr-01Ur) 71 nne-r Contractor: A e A St'r VICa510j/nt> 1J —7
Street' �q I hr Al/PJ/lt�P�City Street 11_I Nr7(}h S City �
State F Pr- Phone (9'-r6) '7<41 j - (P(o4/4 State M A Phone, MS)
Architect: City of Salem Lic#- 1,H D5
Street City State Lic Q57 HIP k I D I Co 09
State Phone ( ) Homeowners Exempt Form_yes 1:� no
Structure: (please circle ing a Fami • Multi Family# Other
Estimated Cost of job S Q� b00, 00
Will building confrrm P law? yes no
Asbestos?_yesno
Description of work to be done: \
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A&A SERVICES, INC.
Drawings ubmitted:_des no Mail Permit to: 1 SALEM,MA 01970_
t % rg7a1741-0424.-'
\X INWW.AA VILE'.
Signature of Appl' ation,SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX(6)MONTHS OF PERMIT ISSUED DATE