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18 BERTUCCIO AVE - BPA-12-2004 POOL ' 2-q - � � I ► -� ddIHSteE fiLf� APPROVED BY T44E it f J T t glpR 711/ PFAI�WT BFMQ GRANTED CITY OF SALEM N No. Z -ZC'7b� /71 'h T, Is Property Located In Location of C n the Historic District? Yes—No Building � n r, �C r mVccio A"e, Is Property Located in / the Conservation Area? Yes_No VVV BUILDING PERMIT APPLICATION FOR: Permit to: (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 according to the following specifications: Owner's Name P in Address & Phone 2 ,jg �AucLD All-L (Q-7%) Architect's Name Address & Phone ( 1 Mechanics Name 4 Address & Phone ( 1 What Is the purpose of building? Material of building? If a dwelling,for how many families? WIII building conform to law? Asbestos? Estimated cost City License x N A Stat se d Rome Improvement Z© C.r— to q c) Lie. / Sig at a of Applicant SIGNED UNDER THE PENALTY OF PERJURY DES RIPTION OF WORK TO BE DONE Pao` �v�S� J rPt7)aCQ L�k etc fCex 6yxAS I�P,rI�✓1 c �a ice, 6-D a MAIL PERMIT TO: No. /2-Zoo APPLICATION FOR PERMIT TO r,?y ` A�� foo LOCATION p � PERMIT GRAN TED Ohl 19 ,5PMOvrD INSPECT,_•.A OF BUILDINGS