0027 CHARTER STREET - BPA (004)r
-P M161MT-8E f NrD APPROVIED BY THE
JdSP,aC=PWR TDA.Plar MING GRANTED
CITY OF_SALEM
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BU LD1110 PERMIT APPLICATION FOR:
Penns to:
(Clrole whichever apply) Roof Reroof, In"u Sk tS. Consmx;t DeoK Shed, Pool.
Repalr/Rgtlace. pam aropies, rEplace exta-ics des
PLEASE FILL OUT LEGIBLY i COMPLETELY TO AVOID DELAYS IN PROCESS"
TO THE INSPECTOR OF BUILDINGS:
The ura*ggned hereby applies for a permit to bulid aocordinp to the following
speodicationm
Owners Name Salem Housing Authority
Addreae & Phone 27 Charter St Salem MA f 9781 744-2809
Aichkeds W1e Nilsson & Sideen Associates
Address 8L Phone 262 Essex St. Salem, MA 01970 f978 ) 741-5777
Mechanics Name
Address & Phone ( 1
What Is the papas of DWIdMp? Residenttial dwelling
Md"cl kdit? wood 0 a dWWQ.for how many WONW?
WW b"V amiam to law? N/A Alba"? No
Arnaud oat 1 y 9, 6u-p car LICK a# N °` awe
10 lwr�t
Ue. 0 1174-in SN Of It1p'll nt
Swi UNDER THE PENALTY
of PMIURY
DESCRIPTION OF WORK TO BE DONE
Removal of door canopies
Remove & replace front & rear exterior doors
MAIL PERMIT TO.
No. '��
APPLICATION FOR
PERIW T/T O
LOCATION
PERMIT GRANTED
AIP'PTI�/1•"
INSPECTOR Or BUILDM-
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