89-91 CANAL ST - BUILDING PERMIT APP �gs
-I.AiPS*H-4STeE FILED,—W4O APPROVED BY T44E
.=PECTDB PFWJ3 TD.A.PERMIT Bf JNG GRANTED
CITY OF SALEM
-63 No., '� Date
•`ik
\�}rmNs
Is Property Located In Location of
the Historic District? Yes_No X Building rt4wer, co/
Is Property Located in
the Conservation Area? Yes No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Rer of, Install Siding, Construct Deck, Shed, Pool,
epair/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
9 Y 9
specifications:/
Owner's Name ff C� ?>f�/P—t C 14 �il/t U`)�� P-w
Address & Phone
Architect's Name
Address & Phone ( )
Mechanics Name z
Address & Phone 1
What is the purpose of building? A0kW 11-,WQ L
Material of building? If a dwelling, for how many families?
Will building conform to law? /L' Asbestos? N C'
Estimated cost City Licensee # N p' fi3gnatVuof
Some ImprovementLic. #� GNE Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
/ �
C�r V v-f
MAIL PERMIT TO: cl�—
APPLICATION FOR
PERMIT TO .
LOCATION.
PERMIT GRANTED -
APP,R(OVED
INSPECTOR 6F BUILDINGS
fe' 2