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23 BERTUCCIO AVE - BPA-2008-280 BASEMENT PLAYROOM
No APPLICATION FOR PERMIT TO (jIl4T F®.0 I,SE 4 J SGE Ei r�/6 le6 d n� LOCATION Z3 E�ePtJec/oe PERMIT GRANTED nPP ova • OR of BOILDINGS fL�lIslANsrilEfiLE64w+D APPROVED BY T44E agpF, W PRIOR TDA.P.EBWT BEING GRANTED CITY OF_SALEM 5� is ft*"L=MW in lacatim of n.NlNala t)t�tra9 Y«No Qa Q _e f?-7v c c r s A Is Property taawd in ft Caw won Am? Ym No BUILDING PERMIT APPLICATION FOR: Permd to: (Circle whichever ap*) Roof. Reroof, Instal Siding. Constnkt Dock, Stied. Pool. RspaidRephwe. A r" ¢ G A L-L-t �.. �A-ti-OLwc PLEASE RLL OUT LEGIBLY i COMPLETELY TO AVOID DELAYS W PROCESSING TO THE INSPECTOR OF BUILDINGS. The wtdarsigrwd hereby apples for a permq to bind according to the following Owner's Nwne c7 1L Q >a czb rz, C!C- Address & Phone Q a NK, 1 u c e ,o A,,Y 7� 835 �` "' 'dame �. �.• �r r (� P L r Catis� Address 6 Phone .N ?4AI I Mechanics Name Address 6 Phone f 1 wen is on papas it b~ kim"a arainoy v a waY ng,Oar how many hambiaa? 1 wo buy *v arram to lash Asbwoa9 Edmw sat S t) °—' Cloy uarw a N P` Slater Lana a 4 hG0 00 ,.,t. 0 / 0091kSoat+re o Applicant SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE �--� A FR A.M.0 4 Zcl-A L Ls t t� ,g2L.s .�,P T A l c �At,_a L i�'�/LrrJ �OOn d.-. LvtiG © y S�r� rR34 MAUL PERMIT T0; L y Cr. 6.o LY �pw��l � q'M,A � •� S�—