5 CHERRY HILL AVE - BUILDING PERMIT APP -PL-*NS-NNIST-BEfiL-E� A??flOVED BY T4IE
III:CT.OA ,PF�1fJIR TP.A PERMIT BEING GRANTED
CITY OF SALEM
No. Z-2� �Z�O� ,F:tt, '� °'��. Date
Is Property Located in Location of
the Historic District? Yes—No Building 5 Che,rry Ave,
Is Property Located in
the Conservation Area? Yes No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) R roof, Install Siding, Construct Deck, Shed, Pool,
Repair/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 P1�;11 P C2u2rce k�e
Address & Phone S Ch AVC, (919) -1W-1 - 1-199
S 41 e w, h'l 0., O 19'1t7
Architect's Name
Address & Phone 1 )
Mechanics Name R MA lkcr,� e. Seru(ceS TO C. z
345 &-q-CknL"odd 5
Address & Phone \^lO(`Ccb -2rl Mct. 0L607 ( Gil ) 411-317-9
What is the purpose of building?
Material of building? If a dwelling, for how many families?
Will building conform to law? Asbestos?
Estimated coyos -4 O Lie.s��t / , 000 City License # N P' State License #
Home Improvement
Signature of Applicant
LK IS L 5-5 SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE II
Replcic2m.cn'�- 0, r)41 lJ r`Qvw no
54-r�c.-� Ure, chanties
0
MAIL PERMIT TO: Hoyn2Own2r-
(
No.ZZ 7 -Zpp L+
APPLICATION FOR
PERMIT TO /
f LOCATION.
PERMIT GRANTED
AP OVFD
INSPECTO OF BUILDINGS