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37 BELLEVIEW AVE - BUILDING INSPECTION (3)
PLAN 6i WT13E 4 4WB4A9 APPROVED BY 774E .WSPECTDA PRIOR TD A PERMIT BSING GRANTED \\ CITY OF_SALEM No. v v �� i ;rc Wald Zoning Dlabkt Is Frosty Lo in t� ofWHiNtaic Dbr ? YamNo� l ` Is Promly l ' ' in / NW COnWrA#m Ann? Yak__No \ o y l Permit to: BUILDING PERMIT APPLICATION FOR: (Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool, Repair/Replace, 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 accorcLiq to the following specifications: Owners Name CF"u� r, A',S-4 c c Address A Phone 3 J 13CLCEyi�ZJ //yG] is f 9�i 7YY— 77 9 / Arehkect's-Plara� Address-&-Phane [ 1 Mechanics Name Address & Phone f I • WAat b sW PUrP0M o1 buldkq? Q✓ /404.— m"W of buNdrq? c ©off M a dwaft for how mmy tamlleN? Wa bu- I "cor foam to law? Y(5:5 Asbefts? pro Ealltnatad coat CMy UoaMa N slob LJe N / ao•a ItpzowaMaMeLie �_ Gti C�.r Pa1L ' Signature of Applicant J SIGNED UNDER THE PENALTY, OF PERJURY DESCRIPTION OF WORK TO BE DONE A l GP� .Gi>^ �.P[/ -S>•fJ�a.Gt�^ GA.CAG Cg MAIL PERMIT TO: SAc�� , � pl97o No.'' � , 1� APPLICATION FOR PEFWr TO LOCATION PERMIT GRANTED ��37fl.5- 19 APtov D INSPECTOR CBUILDINGS