45 BARR ST - BPA-2004-305 REROOFr
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WSPI CTDR ,PFWR TP'A PERMIT B,EWG GRANTED
CITY OF SALEM
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No. 305- LOO v` �, `'��, - Date
L` 6
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Is Property Located In Location of
the Historic District? Yes_No Buildings Ra y $
. Is Property Located in
the Conservation Area? Yes_No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof; Reroo , Install Siding, Construct Deck, Shed, Pool,
Repai ce, 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 l.cc, (ru Sr V 4S ( �-R kt.5
Address & Phone 4`S 9
Architect's Name D?a„ o
Address & Phone ir1 0 ((� 1 /
Mechanics Name v^ '¢Z /l6 -/0d c1s&f K-S AC�
Address & Phone Alec W 7Sr1' 1�--3S fo?(a
What is the purpose of building? e_M - ca L VS
Material of building? Ar 4 If a dwelling, for how many families? c�
Will building conform to law? Asbestos?
cs Q�p
Estimated cost `-0!9 City License x N A State Lice (
c� Home Improvement
Lic. 1 42 3a
nat a pp' t
IGNED UNDE HE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
y 9 /tom 6 (4- Sti,Ag f�e<. cfic// A ci
MAIL PERMIT TO: 9 ffe l-o ll Xu or r4 �e a . r/L Jam` (1Y r)
f-7k135--V70-
No.✓O S-2r6o
APPLICATION FOR
PERmrr TO
LOCATION
PERMIT GRANTED
APR VFD
INSPECTO OF UILDINGS