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1 CARLTON ST - BUILDING PERMIT APP 41fis�Itls �E f4L4Eg-;*No I�PPROVED BY TWE UP�CTPR ,PR,IWR TP.A.pERMT B,EWG GRANTED 7 CITY OF SALEM X151 0 U Date CJ3 0 No. f "O�7MIryg�� Is Property Located in Location of the Historic District? Yes—No— Building CrRLTOA� ST Is Property Located in the conservation Area? Yes No 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: n Owner's Name I 1 Address & Phone I CA 07-OP 'Sf (W) 7f;b qe(,� Architect's Name Address & Phone ) G04- Mechanics Name Address & Phone What is the purpose of builydi�ng? NC w !SL ©© Material of building? C i (A) �G� / if a dwelling, for how many families? Will building conform to law? �� Asbestos? A)� Estimated cost —4-2:2—0 City License•—!i/—A :itn��a e Lice s a ��\\\ Home Improvement X (Z Vc' i 13 8 r , ntureof Appl artf SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE x l e, ;�- i/ MAIL PERMIT TO: 6—j No. �� APPLICATION FOR C, PERMIT TO f LOCATION PERMIT}GRANTED APP OVFD yy INSPECTQA OF BUILDINGS LL 1 i J