83 BOSTON ST - BPA-2005-703 UPDATE KITCHENS & BATHS -PLAM 10ffiT-BE fILf� APPROVED 8Y T+IE
,W$pZCJLIR PWR TD A PERMIT BFJNG GRANTED
CITY OF SALEM
No. `� ,�.5 ',� 'f � Date 02/tj U
is
Locatiou
the Historic District?rty LocatedIn Yes No &d"iing of �J )d54D k ��
Is Property Located in
the Conservation Area? Yea No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) of roof, Install Siding, Construct Deck, Shed, Pool,
Repaid face, ther:
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: i �l
Owner's Name .l l uS
Address & Phone 39 �oSf�n �t (47?) 7?1-1�-53
< Architect's Name
Address & Phone A l A ( )
Mechanics Name
Address & Phone 1 1 D q ( )
What Is the purpose of building? 5-A R( S
Material of building? If a dweAing, for how many families?
Will building corrform to law? Asbestos?
Estimated cow 7x city ucarw M N "' 7`7
fi
Home Iaproveaent
Lic. If
Signature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESC IPTION OF WORK TO BE DONE
MAIL PERMIT TO:
APPLICATION FOR
PERMIT TO
t`.00ATION ' c
PE MIT GFIANT D
APP OV D
S ECTOR OF WILDINGS
1