7 BEACH AVE - BPA-2005-08 TENT PERMIT -PL* SIdHiST-SE f lz-E VD A?PAOVED BY T44E
,W5iPEXTDR ,PRWR TP A PERMT.B,EING GRANTED
J CITY OF SALEM
No. — V� tr �''T^\ Date
y' y.r.
I,' 4) Ward
� gmNeoo' Zoning District
Is Property Located in Location of � &
the Historic District? Yes_No_ Building J
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: :22 D--K drw `Zah7—
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 e / Y
Address & Phone f�l��� (97 q)
Architect's Name
Address & Phone ( )
Mechanics Name
Address & Phone ( )
What is the purpose of building?
Material of building? If a dwelling, for how many families?
Will building conform to law? Asbestos?
vd
Estimated cost City License# State Li
Home Improvement
Lit. i7
Signature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
-7
MAIL PERMIT T0: e7 Z-43M �/� 4!<
13 SrNp� f_
No.
APPLICATION FOR
PERMIT TO
LOCATION
PERMIT GRANTED
7f//,0 `7 19
AP
INSPECTOR OF BUILDIN