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18 BERTUCCIO AVE - BPA-2006-891 EXTERIOR REPAIRS
pL,*"S1A T:.9EfM.f94►ND APPROVED BY THE ,g p==pWR Tp A.PERW BEING GRANTED CITY OF SALEM N � s Die o. z o� is ProWy located in Loeation of "HISWfic DWdct? Yuri No XI►uitdina 6�(/2 Is PmWty tacWAd in the c mwvOwn AM? Yes No / BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Install Siding Construct Deck, Shed, PQ�I, j;;;; Other tk)rho✓S , oav �ao7 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: r Owner's Name -kPoo Address & Phone ALIS I Architect's Name Address & Phone / r Mechanics Name A of`Z! o A Address & Phone 5-(0 Whet IS the pwPM at trtlWrg? Macaw d WkWV? fit/ G' n a dwWq,for taw many Iarnb"? Ww bulldog mdorm to law? y 5 AWNWe? // d Eatlrnated Wd'R/T_cuy ucerw e N p' vAte txmnea o �j© 2 r5o 7 am* lmprave t Ue. O o io 1 X Signature of Applicant SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE MAIL PERMIT TO: No. APPLICATION FOR PERWr TO �i NAsa1 S�,S7iKS, /loaf . LOCATION � e d =�cr"CCio �ic . PERMIT GRANTED �• i Z 20 D6 APPROVFD OR OF BUILDINGS c