4 CHANDLER ST - BUILDING PERMIT APP DATE: J L-/-07
,
' Citp Df �rPITC, A �AL�UPtt
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Building Permit Applic Location of Building_( ( Y)O{Z'��P_l^ 5ree_f
aY r:
'(Circle whichever applies Roof eroof, Install Siding, Construct Deck, Shed, Pool
dition, Alteration, Repair/Replace, Foundation 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: DuAd 6 &ci 01 me , Contractor: A 9� A 5e_rVIu5'�hn5 Zb r7
Street�Owmler , PP4--City E�f/ Street— I NQ h J .1 city� ��
State, Phone 0rj$)_ State Mfl Phone. MS) 7�.l -,D.1-1A�
Architect: City of Salem Lich
Street City State Lic CJ57 HIPA, 1DNoD9
State Phone
( ) Homeowners Exempt Form_yes—Z no
Structure: (please circle) ingie Famil}, Multi Family# Other
Estimated Cost of job S �oDnb, ()
Will building confirm to law?_yes no
Asbestos?_yes J/ no
Description of work to be done:
'ex /S Y lelien
Ro nlocp fir��t ��-� �.�l�h 2 an-31 n hCtlf' (Iii. 5)
.S� i�� ve.S rnn�ir,a SG�irt®1 eS
A&A SERVICES, INC.
Drawings S itted:_des no Mail Permit to: S EM,I N. MA 01970
X / www.AA EiJfi'�5.
Signature of Applica n,SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX (6)MONTHS OF PERMIT ISSUED DATE
N0.
APPLICATTION FOR
' PFAW TO '
l LOCATION
PEqMIT GRANTED
APWc
PD
p
G .
O(j OF 6 DINGS E -
CERTIFICATE OF OCCUPANCY .
YES