160-162 BRIDGE ST - BUILDING PERMIT APP ,_ i►t-ltftSilAii6�'f3E { ti4Nfl i*PROVEO BY T44E
u EAISF' AAIhJAAD; # Ff� T.I3,E1NG GRANTED
CITY 'OF SAtLEM
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Is Property Located In ✓ Location of Q
t, the Historic District? yes—
is No_ Building ��o'�6Z ✓W/L
Property Located In
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the Conservation Area? Yes,_No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Rero Install Siding, nstr ct .Dock, Shed, Pool,
Repair/Replace, -
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: Q n
Owner's Name
Address & Phone
Architect's Name
Address & Phone
Mechanics Nameg fU�P� 3`�� t� n�✓��� 5� ,
Address & Phone G�d S � Of) LLdL2 i,a'i
i whet Is uw purpose of bulldlrq?
Matedal of building? n a ailing,for tow many familes? {sv I
WUI buildng cordons to law? r �i Asbestos? �✓ ri�� .{ I.
Edmeted cost. � .City Ucenea N A State Ucansa M i
Boo lwprovaon
Lic. i Y X/;§iVrgture of Applicant
< GNED UNDER THE PEN NI
�w OF PERJURY
r t DESCRIPTION OF WORK TO BE DONE
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