32 ALBION ST - BPA-04-416 SIDING & GUTTERS r
' °YaPROVED BY T44E
i3L?! P�3JLaA ptl PF��1T.f3EWG GRANTED
{ t
} IT1y OF SLEM
331
No. t ! I (0 —2 C7 { ` "� �� Date
i + °�
y.t.
,r� , Ward
Zoning District
Is Property Located in / Location of 1
the Historic District? Yes_No (_/ Building kb[DA/-5 Cj
Is,Property Located in /
the Conservation Area? Yea No_
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
specifications: ((��
Owner's Name PA JL- Bvy-Ltfi-
Address & Phone —%kM,n?/i (M 9W D/%d
Architect's Name
Address & Phone ( )
Mechanics Name -:22uilb2 BrT.4�sNT,PAcToLS
Address & Phone 1/111047N�� O � Aog� rna
What Is the purpose of building? K,rE.SLa dIrl,4C
Material of building? G Y-10D If a dwelling,for how many families? /
Will building conform to law? Asbestos? N//6
Estimated coat4 City License # /SOb State cone # 61o2y�9
Hose Improvement
3 Lic. i A)09YSig af3 of AppliciOt
a SIGNED UNDER THE PENALTY
L OF PERJURY
DESCRIPTION OF WORK TO BE DONE
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MAIL PERMIT TO:
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