2 ANDOVER ST - BPA-2004-393 3RD FLOOR UPDATES �WPROVED BY T44E
PEDJLjI PF�JDR TD A PERMIT BEING GRANTED
' CITY OF SpLEM
UN
No. 3—Zoo Date / U✓ 3
�. _.. ....: .'�a Ward
Zoning District
Is Property Located in Location of
the Historic District? Yes X No_ Building 2, 6zZI � �!
Is Property Located in
the Conservation Area? Yes 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
Address & Phone
Architect's Name
Address & Phone ( )
Mechanics NameiJt��c�
Address & Phone A' 2P clZ? —659S
What is the purpose of building? 7
Material of building? (,.r4ef7 rvO If a dwelling, for how many families? 7
Will building conform to law? Asbestos?_,,Z A3
T"
Estim s City License # State License #
��jr� Home Improvement
J V rV c. i
l ure ica
C Z>r�5 SIGNED UNDE . PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
�r,A1uee z7' 3)Q> 1=rrx>17�i7-(- A/ TD
MAIL PERMIT TO:
n7�.? t tC4N f.au�q♦dlst,Y;
t• I IF:�E.}.A f 'i4'Ik5+l i<� f � .fi,ro1�Q'k�'y'fl. . .. .. �� -.- .»..m. . .r...
FC+rH.ariiA .,S?deE}i.t f
.f
aJi>t 'SS3'+ )�'.'.. cn
'. t,s fr`;i ae -£¢�1i"i• _._.
t
C7
LL � i
m
4 � Z
a
� Q M
J ¢ �u � ey53LU
1 + ro G1 s2a a F, f1; at
IL
a -
g a a Z
�'F