0132 BOSTON STREET - BPA-06-118 No\\
APPLICATION FOR
PERMR TO
LOCATION
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PERMIT GRANTED
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INSPECTOR OF MJILDMIG8
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CITY OF_SALEM
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Permit t0: BUILDNO PERMIT APPLICATION FOR:
(Ckcla whichawr apply) Roof. Raroof, IneW Sftgr ConaJW Deck. Shad. Pool.
RepddRaplace. Other:
PLEASE Flit OUT LMKY a COMPLETELY TO AVOID DELAYS W PROCESSI W
TO THE INSPECTOR OF BUILDINGS:The umW&WW '.
hereby applies for a Pwmk to build aocord4-p.to that ftw4p
Owner's Narne
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of Applima
SIffElD I�IroER THE PENALTY
of PERJURY
�DE8CRM'T10N OF WON(TO BE DONE/
MAIL PERMIT TO: