10 ALMEDA ST - BPA-04-113 VINYL SIDING gdtIST-BE ffLf� APPROVED BY T+IE
.WPFCTD-13 PM13 TO.A.PERMT.BEWG GRANTED
CITY OF SALEM
No. ( I '�-2i� �wf �;\ Date 'I. 30•n3
�9�1MIN6�� T
Is Property Located in Location of
the Historic District? Yes_No_ Building ib A l y,zda 5� .
Is Property Located in
the Conservation Area? Yes No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, nstall Siding, Construct Deck, Shed, Pool,
Repair/Replace, er:
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
Address & Phone In AIM `l44 - Goan
SwlLYV-+ 1 Ma . Otat'fp
Arc
Address & Pho (
Mechanics Name RMA- 4nme_
343
Address & Phone worca +u� Mn . otbo7 56(1 ) `lL-1 -�IZR
What is the purpose of building?
Material of building? If a dwelling, for how many families?
Will building conform to law? Asbestos?
Estimated cost 15,000 City License # N P' State License #
$q S Rome Improvement
zic. # 1165393 Signature of Applicant
� SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WOO��RK T( BE DONE
4Y.1',,
V)
MAIL PERMIT TO: 1 C 1�w•c ewfu 1
No. ji, 3 " 7-:c5-D
APPLICATION FOR
PERMIT To
LOCATION
PERMIT GRANTED--
-2L LO-3 2.0
AP VFD
INSPECTOR OF BUILDINGS