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37 BEAVER ST - BPA02007-964 ENTRY DOOR i No. APPLICATION FOR PEAWTO LOCATION Z eldac,� PE MIT GRANTED APPRO �D TOM OF 6UIL INGS CERTIFICATE OF OCCUPANCY . YES DATE: 5- L/ --07 Citp of a�a�Qrn, fiaaLjUEtt PLANS MUST BE FILED AND APPROVED BY THE INSPECTOR PRIOR TO A PERMIT BEING GRANTED Location of Building �7 IBC'Q. ✓e—r " ' 'ee f Building Permit Application For. '(Circle whichever applies) Roof, Reroof, Install Sidin nstruct Deck, Shed,Pool Addition, Alteration epa /Replace, oundation Only, Wrecking Other. PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING To the Inspector of Btuldings: The undersigned hereby applies for a permit to build according to the following specifications: Owners Name:Tm(L�/� //IICU�SYOf Contractor: A e A 5erviu5I('�l► t5 ?J r-7 Street S7 &Q✓Lr ,s /orb-City ',Vlelln Street 115 N12(}h 5" City '� lam State.MA Phone (Q7�_ 7y5_ g/y� State PA Phone. 078) Architect: Cityof Salem Lic# LH05 Street City State Lic O57 HIP* ©f(o D9 State Phone ( ) Homeowners Exempt Form __yes �no Structure: (please circle) Single Fami } Multi Family# Other Estimated Cost of job S_ a9522, Q Q Will building confirm to law? ✓ Yes no Asbestos?__yes ✓ no Description of work to be done: �dlara Qne- C r I �anfn.r do-ter i� r l owe Cr P , j Peru Flo-�r- A&A SERVICES, INC. Drawing bmitted:_yes no Mail Permit to: SA.LEM,MA 01970 % rg7k1 41-0424 X WwwA ASIVIt 103. Signature of Applica on,SIGNED UNDER THE PENALTY OF PERJURY CONSTRUCTION TO BE COMPLETED WITHIN SIX (6)MONTHS OF PERMIT ISSUED DATE