86 CAVENDISH CIR - BUILDING INSPECTION Seel T-BEf L+G--AfJD AfaPROVED By T44E
,LNSPI CTDB ,PFl1DIR TD A PERMIT J39MG GRANTED
CITY OF SALEM
Date l 102 t7
Is Property Located in Location of
the Historic District? Yes_No Building
Is Property Located in f l&A 11 M�
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: BR �itiiS�l
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 �04 t4vn
Address & Phone (!aye4isL, 6olQ a (77A OLIO&S
:h Architect's Name
Address & Phone I
Mechanics Name
Address & Phone I ( 1
What is the purpose of building? h lni`S� �OkSCu �
Material of building? (k)Oo d If a dwelling, for how many families?
Will building conform to law? Asbestos? Flo
Estimated cost *p ala.0 0 City License x N Pp' State License •
Bose. Improvement
� Lic. f
C2, b X
at ' of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE S
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MAIL PERMIT TO: pSe �ii5� �o"/tn
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No.
APPLICATION FOR
PERMIT TO
LOCATION
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P,tRMIT GRANTED
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CrTY OF SALEM
BUIIDINGDEPARTMM
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HONSOWWR'S S1GNA
APPROVAL OF BU ]NrJ
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HOMEOWNER'S EXEWI[MON
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:,,item cost qty total
2x4x8 lumber 4.00 11 44.00
4'folding doors 64.00 1 64.00
5'folding doors 64.00 1 64.00
nails and fasteners 50.00 1 50.00
masonry screws 20.00 1 20.00
drywall4'x8' 10.00 2 20.00
drywall tape, mounts, etc 40.00 1 40.00
molding 8' 5.00 ' 4 20.00
carpet padding 25.00 1 25.00
carpet install (home depot estimate) 2.00 130 260.00
ceiling tile 0.50 130 65.00
ceiling suspension, frame, fasteners 50.00 1 50.00
paint 50.00 1 50.00
misc supplies 50.00 1 50.00
total $822.00