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25-27 BUFFUM ST - BPA-2006-427 DATE: i Citp Df 'E)aftni, �ffla5.E;aLbU5Ett5 > / PLANS MUST BE FILED AND APPROVED BY THE f� INSPECTOR PRIOR TO A PERMIT BEING GRANTED ' I Location of Building Building Permit Application For: '(Circle whichever applies) Roof, Reroof, Install Si ' t Deck, Shed, Pool Addition, Alteration, air/Replace, undation Only, Wrecking Other: 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: 501y �Dl-e f'(m'011D Contractor: Chr; GtnphPr 1nr-7-v Street Sf City 5a 1,Pi?7 Street 11 5 North S t r P P t City-Sa 1 P m State./} A Phone (973 Z6LA -9T9C� State MA Phone (978) 741 -0424 Architect: City of Salem Lic# 14 0 5 J Street City State Lic#0 5 7 7 3 3 HIP# 101609 State Phone ( ) Homeowners Exempt Formes .10 Structure: (please circle) Single Family, ulti Fami # Other Estimated Cost of job S 100 Will building confirm to 1 w? yes no Asbestos?__ycs2no Description of work to be done: 7,uinCYdGcJS. SERVICES Drawing u witted:_yes no Mail Permit to: 115 NORTH STREET % per RM nRA-A�Bav X Signature of Application,SIGNED UNDER THE PENALTY OF PERJURY - CONSTRUCTION TO BE COMPLETED WITHIN SIX(6)MONTHS OF PERMIT ISSUED DATE Department use only: Permit# Zoning Map/Lot Permit fee S µ7 COMMMS: t A; _ I i I Cl) m O o _... C.O3i?4Yi"'2' r m � —.CIJ u , , t;0�i'�+,x.alf'k:J,iLiviL": ; '� i3VJrh'' . r.tJ :n.i ! y?;dd " r €i' � , r • .,_ fe �� fYs�k#bFfi! {�'` L�F)S:f .5 .k. y•t F, .� i +fit... k. k. ,.,5 •cl�`,!r - , .•. - �r,.[,54t5 ; 's"il'!t f c:7 !, ? r. •-. r !+: ki., i !( ' !'°,.5,.•, I vim j li!i.f..>` ars,..anww �•r.-a...e..w .--.1 ....,.•_.w..e...a >• Yl . .n a` • a'..7f3Cr'i7of;' T ifz ,. _ _.. M .a