6 CALABRESE ST - BPA-2006-389 SHED -PL11Ns4AWT-9E fiLall-OrND APPROVED 8V T44E
MSPICIM PRIOR TD.A.PEP1W JQ MG GRANTED
CITY OF_SALEM
No. eo.Lb.`� � Date 16- (7- o S
s:
\� < r
Is Property Located In Location of
the Historic Dbuiet? Yes_No B.d 7A n c Sr
k PMPWtY Located in /
tlw CorWWAdipo Areal Ye No JG
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, 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:
Owner's Name Cr
Address & Phone f G`AkA-696vr( ST PA (qn,) 7,1Y —17V L
Architect's Name ai A
Address & Phone N A l )
Mechanics Name N�
Address & Phone Al k- ! )
Wfat Is the purpose of hWdirg?
Matwfal of building? If a dwelling,for how many families?
WN b mkkV cordorm to law? Asbestos? iCJ o
Estimated coat P a Qtv License 0 W P,' State uoense M
Hie. Improvement z�-
v Lie. i (['�
Signature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
A xlo SFfED To oLP :5-&er6
MAIL PERMIT TO. , ,
No.
APPLICATION FOR
PERMIT TO
LOCATION
PERMIT GRANTED
l
APPR 1) ('
INSPECTO O BUILDINGS
Y