3 BERRYWOOD LN - BPA-2006-639 REPLACE 3 WINDOWS t
���S�if�Eft�ND APPROYItIi 8Y TiiE
JdSP ti1� TDAP.EWAWO GRANTED
CITY OF_SALEM
19
IIrfto1YM lonatim Of
o'i OY4id7 UXINd„ YaL.No X laiL3o�
is Pwpuly Low"in n ¢�£.2 2.�wooa I—►v
re GM@W4WW Aus9 Ysk�No
BIIILDM PERMT APPLICATION FOW
Permq to:
(Chose wh Whewr apply) Root. Install SWk% ConsIW Dock. Sled, Pool.
PLEASE FILL OUr LEOWLY i COYPIAMY TO AVOID DELAYS W PROCF.SSMIO
TO THE INSPECTOR OF MAUNG&
The m*sipred hereby applies for a pwmd to build acoortii V to the toWMV
speck ations.
Owners Name t ► b� { M�� t 11 i-t,CP> .
Aftm& Phone ` > 97>"e y,, -,o Q'4 3 7 R o
Anddtect's Name
Address Q Phone _ I 1
Mechanics Name 1+l7
Addrou & Phonw lw 7C,Refs,M
No is"p 1poo.01 ouYdrp9 �fS�`n4 w , L
m mw of bwYdYlp? U s diweay.for how stony won?
VA bAkbV WftM to ww? AWNIN4
Essmwd oo"> �� SRO pq um=ar N A ebb tlouw•
ySfprwun, of Applicant
SW D UNDER THE PENALTY
OF PELOitM
DESCRIPTION OF WORK TO N DONE
�i E.fG-ACE ?� i tiavws
MAIL PERMIT TO: ` jury C w "o
Li Cc,-P uu .cv . t; � 1 77" 711—"q
V
NO. 39��
APPLICATION FOR
PERMT TO
LOCATION
PERMIT GRANTED
2.0
t
INSPECTM OF BUILDN(3S ,