20 BECKET ST - BPA-2006-254 REDO DECK -PLOM Mtf T-BE fillz—E �idD APPROVED BY T44E
.IUSPECTDB PfWfl TD.A PERMIT BFING GRANTED
CITY OF SALEM
y `\ ,T .
No. Date
Is Property Located in �/ Location of
the Historic District? Yes_No Building � iC[fi S7
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,
epair/Replac , 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 4112 Y!L a bJ C2 V n ykl
Address & Phone -,2h aickC S/• jr k-A. t�y p it y, Fnya
Architect's Name 14444
Address & Phone / ( )
Mechanics Name "OFF �a► 09in ,gr Address & Phone ��D c �7� scT�e.,� ye�rf►, x2i) 7j —/
What is the purpose of building? fMRP— �IPnGCeyrC[
Material of building? � 60i If a dwelling,for how many families? FL
Will building conform to law? Asbestos? /�,� �/ (, /
Estimated cost City License k N P' ;06
LiCen # C�J ( (� T 9
Hone Improvement
(6 Lic. try7d3 X
t re of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
MAIL PERMIT TO: ( �`f ��r�r 4 ���
f
I
No.
APPLICATION FOR
PERMIT TO
LOCATION
PERMIT GRANTED
9
APPROV*SCT'
D
R•OF BU DINGS