27 BRADFORD ST - BPA-2008-821 ROOF DATE: G;2 Y
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PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
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Location of Building & ra(J&Yd s rlee '
Building Permit Applicatio o
'(Circle whichever applies)Reroof, Install Sid' truct Deck, Shed,Pool
Addition, Alteration, epair/Repl , Foundation Only, Wrecking
Other:
1
PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
To the Inspector of Buildings:
The undersigned hereby applies for a perniit to build according to the following specifications:
Owners Name: Contractor: A e A JtXyIC.I5Mhn5 6r7,
Street City&J1PT) Street I I n(lh 5f. City—"�
State,HA Phone (qng) 7)I,�- qa M State PA A Phone- N760) 79 -,0<I�k J I
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Architect: City of Salem Lic# I H 0 cJ
Street City State Lit Hip# j(j I to 09
State Phone ( ) Homeowners Exempt Form_yes yl no
Structure: (please circ Single Fa y, Multi Family# Other
Estimated Cost of job S a DD
i
Will building confirm to law?--Z—yes no
Asbestos?__yes ✓ no I J
Description of work to bebe done: n I 1� r
k a +hat'
A&A SERVICES, INC.
Drawings ubitted: es no Mail Permit to: i 15 NORTH MA TREU
741-0424:._.._
Signature otApplicaltion,SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX MONTHS OF PERMIT ISSUED DATE
APPLICATTION FOR _
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1� 2�x (-AJ
LOCATION
PE MIT GRANTED
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APPRO p
INSP CTO� OF 6UILDINGS E _
CERTIFICATE OF OCCUPANCY .
YES
NO