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20 CHANDLER RD - BUILDING PERMIT APP
DATE: . 9a�a � Cifp of Z)al'Em, a��aL�ju�Eff� PLANS MUST BE FILED AND APPROVED BY THE INSPECTOR PRIOR TO A PERMIT BEING GRANTED Building Permit Application For: Location of Building odd Ci )/ r.YJer e6oej '(Circle whichever applies) Roof, Reroof, Install ' ' ct Deck, Shed,Pool Addition, Alteration epau/Replac oundation Only, Wrecking 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: Owners Name Contractor: A e A Service5'l1n5 6 177 Street' n l',hQM1 Cyr pd City ,fir(DL Street .115 ICInr h S�. city I ,, , State.Hh Phone (q'�$) 7 - ,�a/n(n�i State MA Phone, 07S) 7! l__O�1CAH Architect: City of Salem Lic# I -405 Street City State Lit Q57 HIP# I©I(009 State Phone ( ) Homeowners Exempt Form_yes_L/ no Structure: (please circl Single Family, ulti Family# Other Estimated Cost of job S aLl jr(} Will building confirm to law?-,-yes no Asbestos? yes I/ no Description of work to be done: A&A SERVICES, INC. Drawin miffed: , yes no Mail Permit to:$-. 1 S15 A.LEK MA 01970 Xy Signature of Appli ation,SIGNED UNDER THE PENALTY OF PERJURY CONSTRUCTION TO BE COMPLETED WITHIN SIX MONTHS OF PERMIT ISSUED DATE N0. APPLICATION FOR ' PPRW TO " LOCATION PEgMIT GRANTED APPR VFD L L- i, ' F CTOn OF UILDINGS CERTIFICATE OF OCCUPANCY . YES \' NO �c + •I •