24 BECKFORD ST - BPA-2004-313 ROOF fL -FIIiST-BEfiLE� APPROVED BY T+IE
,=PXTD-R ,PWR TP.A..P.ERMIT B,EWG GRANTED
CITY OF SALEM
416 No. I3 ZOoLl "L �'\ Date 23
INV,
Is Property Located In Location of
the Historic District? Yes_No Building �2-4&eeKFoAb 5I'
Is Property Located in
the Conservation Area? Yes_No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Ro<Reroof Install Siding, Construct Deck, Shed, Pool,
Repair Lace, 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: //��I I �v/
Owner's Name ek"zt012S 1`n'Q��
Address & Phone 6 +- �n ro off 5T SSLeA 75) $8`f 6gra
Architect's Name M-5, &cnn (Y1` ICEL� cUka�
Address & Phone ( )
Mechanics Name z
Address & Phone ( )
What is the purpose of building? Zs&U,.- -taj
Material of building? 14) If a dwelling, for how many families? 3
Will building conform to law? Asbestos? /UQ
Estimated cost OZO-67) City License # N A State License # S
Home Improvement
Lie. i13D4
VV ignature of Applicant
G� l 233 SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
57"-R! P fht/D REkoO F- E%rrS TiN6�-
MAIL PERMIT TO:
No. 3
APPLICATION FOR
PERMIT TO
S'c 276 59
LOCATION
PERMIT GRANTED
2.
APP�VFD
INSPECTOK OF BUILDINGS