23 BARR ST - BPA-2005-812 ROOF & DECK WORK 1
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CITY OF SALEM
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Permit to: INO BINLD PERMIT APPLICATION FOR:
(Circle whichaver apply) Roof, Remof nstall Siding, Construct Dark, Shed, Pool,
Repair . Other
PLEASE FILL OUT LEGIBLY A COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:The undersigned '•
hereby applies for a permit to build accorcPAV..to the following
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Owners Name ?A- - Sd In n) s,b rJ
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Architect's Name N11�
Address A Phone ( )
Mechanics Name
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DESCRIPIION OF WORK TO BE DONE
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