27 BUFFUM ST - BPA-2007-875 DATE: 3-070 , 67
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PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
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Building Permit Application For:
'(Circle whichever applies) Roof, Reroof, Install Sidtn'_g��aslrua Deck,Shed,Pool
Addition Alteration R air/Repla ,, oundation Only, Wrecking
Other:
PLEASE FELL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
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To the Inspector of Buildings:
The undersigned hereby.applies for a permit to build according to the following specifications:
Owners Name-._S) / PanoolM Contractor: A �A 5Pt"vicp5'�115 7,6177,0
Street,2 7 Ar,&im �-WpPf city ri streets ff nrih _City l -
State, Phone 61g) 71-/</ - 879( State Mfl phone. 7Af I zMO A H
Architect: City of Salem Lic# I HJQ
Street City State Lir b57 HIP ar WltaD9
State Phone ( ) Homeowners Exempt Form_yes—z—no
Structure: (please circle) Single Family, ulti F ## , 3 Other
Estimated Cost of job S J)
Will building confirm to law? yes no
Asbestos?_yes"/.no .
Description of work to be done:
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A&A SERVICES, INC.
Drawing b fitted:_yes no Mail Permit to: SAL.EM,MA of 970
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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 i
Permit fee S
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