30 BOARDMAN ST - BPA-2008-734 ROOF DATE: A l7 'DES
=s Citp Df ��Y�TTI, A �LtlEft
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building ,53D .6 r1i fflon SfrOQ�
Building Permit Applicati r:
'(Circle whichever applies) Roof, eroof, Install Siding, Construct Deck, Shed, Pool
ition, Alteration, Repair/Replace, Foundation Only, Wrecking
Other. t
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:
Owners Name: illtkl S+a OI Contractor: A A jrryiwt>/an,,> br7
Street 3D eWrC? ryon �� City&pm Street l(5 N12r4h ,j{'. _city� ��m
State, HR Phone (qtj$)_�l{�j _�9� �( State Nl A Phone• (a�B) 7�1 -,0�02 H
Architect: City of Salem Lic# I)i O5
Street City State Lic n 5 J HIP 9 D I to 09
State Phone ( ) Homeowners Exempt Form_yes_zno
Structure: (please circle) Single Family, Multi Famil Other
Estimated Cost of job$ M _ }
Will building confirm to law? [_yes no
Asbestos?_yes /no
Description of work to be done:
La�� 5q:u�reS D .fir. Qrchi +eC rQ I rood i '
A&A SERVICES, INC.
Drawings Submitted:_yes no Mail Permit to: SAi EM, N1A qt s7o
}( !� INWW.A-AS
Signature of Application,SIGNED UNDER THE PENALTY OF PERJURY
I� CONSTRUCTION TO BE COMPLETED WITHIN SIX MONTHS OF PERMIT ISSUED DATE
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2:
APPLIC TION FOR
PBRMtT 70
s r!2 r t2C-CrocF
LOCATION
PE MIl- GRANTED
APPROVED
INSPECTO�j OF BUILDINGS ;� - _ ._ _
CERTIFICATE. OF OCCUPANCY ^
YES
NO ,