2 BARTON PLACE - BPA-2007-602 NEW ENTRY DOOR DArE:_I J 9 07
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PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building o2 t' l \ �(0 G
Building Permit Application For:
'(Circle whichever applies) Roof,Reroof, lnstall ' ' ct Deck, Shed,Pool
Addition, Alteratio Repai /Replace, oundation Only, Wrecking
Other.
PLEASE FILL OUT LEGIBLY& COMPLETELY TO AVOID DELAYS IN PROCESSING
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To the Inspector of Buildings:
The undersigned hereby applies for a permit to build according to the following specifications:
Owners Name• l Q V-ri nn P hContractor. A A Service 610C nS Zb f
Street a Z PlQ Q City 32(sortl Street Il5 Nnr4h 5{ ' _City. lam
State , Phone ((0l7) $qq_I LoH y State Mfl Phone• (Q7%) 211-_p-9 oZ
Architect: City of Salem Lic# 105
Street City State Lic b`J_ HIP k
State Phone ( ) Homeowners Exempt Form�es�no
Structure: (please circle) ngie Family, ulti Family# Other
Estimated Cost of job EICJ.r`& , (�(�
Will building confirm to law?_j_yes no
Asbestos?_yes no
Description of work to be done:..
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A&A SERVICES, INC.
Drawing b itted:_yes no Mail Permit to: _ SALER NIA 01970
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Signature of Appl' anon,SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX(6)MONTHS OF PERMIT ISSUED DATE
Department use only: Permit# Zoning Map2ot i
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Permit fee S
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