22 BARR ST - BPA-05-25 REBUILD PORCH � 7.
IML*M 1MtST19EffLEa-AN0 A?PROVEO BY T44E
1115PXTOR ,PRWR TO A PERMIT BEING GRANTED
CITY OF SALEM
No)�. F:t� '� ''�\ Date G 2 r/Y
.t M. Ward fO
Zoning District
Is Property Located In Location of C 11
the Historic District? Yes_No Building
Is Property Located in v the Conservation Area? Yes No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Si g, fCon:strfucteck 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 �2— �Al'f P40 q-377
Architect's Name
Address & Phone ( )
Mechanics Name
Address & Phone t `f yr. w, L %t,, ( fir() SS 8`Srt
What is the purpose of building? wov ex�y�.+..y �To �brct,#-%
Material of building? If a dwelling, for how many families?
Will building conform to law? VAS Asbestos?
Estimated cost / %spb '00__City License# 0 Slate License #G.S 0?�1O�6
Rome Improvement
Lic. / I129113
Signature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
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.Pf oc
c.olVv in I ova w r� l*'VA L !6
T a-G Pr
r on 2" t'or9l
MAIL PERMIT T0: �yb` ` S uv c'`� 5 efvr.J Cc^41 CA, /`/ G^�^"✓cry"
0190
1 _
No
APPLICATION FOR
PERMIT TO
�j
LOCATION
a� Sv,
PERMIT GRANTED
19
APP . V�D
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INSPECTOR F BUILDINGS