13 CHANDLER ST - BUILDING PERMIT APP fL.�1lifSillt4lST�EfiL+1D AfOROVEiD BY T44E
.WSPZCTDfl PRIOR TD A PERMIT BEING GRANTED
CITY OF SALEM
Date)i3 s /l
ward
Zoning DlsMct
Is Property Located in Location of
the Historic District? Yes No X Building _�3 Ctiavid4lef S{
Is Property Located In
the Conservation Area? Yes No
Permit to: BUILDING PERMIT APPLICATION FOR:
(Circle whichever apply) Roof 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
specifications:
Owner's Name ILL n Mu I L darn I tn4i I G,
Address & Phone 3 Cl/lalnd le✓ Sk- (9-19/) '7ik0- Zq'-)o
Architect's Name
Address & Phone
Mechanics Name
Address & Phone
What Is the Purpose of building? ee-OA WQ- GIOSekS, C.y'eaj-Q- doh ry tyyt-,o .
Material of building? cry i,wal I If a dwelling, for how many lamitles? l
will building conform to law? Wes Asbestos? Vl a
Estimated cost 2, o o c� Gty License M State License tt
Bose lmprtnr r nt
Lic. i
Signature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
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Z rvy" i s a- CLjd c v-i(j doz)✓Vjak-j i louv fee, r eS
MAIL PERMIT TO: rlILLF AWoe(-- s 5
'1
NO.
APPLICATION FOR
PERMIT TO
\�LOCATION
1L, \
_PERMIT GRANTED
A70,
V�D
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INSPECTOR OF BUILDINGS