10 CHESTNUT ST - BUILDING INSPECTION • Cttp Df aalem, filamearbugett#
PLANS MUST BE FILED AND APPROVED BY TSE
INSPECTOR PRIOR TO A PERMIT DENG GRANT,E,Df
Loeatioa of Buildiog C �n� T ✓�/"
Building Ptr odt APPHatw For.
'(Circle whichever applies) Roof:Rtroof• kwau S' ' Cuct Deck, Pool
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Ation. AlierWoe.Repair anmnun wou Only, Wm*4
Other.
PLEASE FELL OUT LEGIBLY& COMPLETELY TO AVOID DM AYS IN PROCESSING
To the of Buildings:
The imda 0pod bueby appf))ia for a permit to build acoordiog to the following aped8catio L.
Owmcd Name Gf/J lel/ ( r V f Coatraetor,
Snoet Ci4•Jlf o Stmet y
state— Phone (QAq pf Y -ro 6 slut phi l )
Ar ebitect:_/V SSGn I I�Qn r Cny of Salem L1c ,
street—C-�e,� -FT cii�:1 �i= State
snte� Pboae��j %Yl-S 77 7 Homeorroe„Estmpt For•o_yas ao
Sterne: VOW Olde) Single Family. MWd Family w� OWa
lidnated Cant of job S a CQ7/0
WW bwwiag ooafirm to I 7,. m ao
Asbtssw!_„•yes ,-so
Dde�/iW,iao of work b be dace:
Dnwa Submitted
•---•--�'a�� tto Mail Permit to;
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P shim of APPS.S GNED UNDER THE PENALTY Of PZLMRY
CON TR CT
ION T B � OMPLETED WITHIV IN SIX MONTHS OF PERMIT ISSUED DATE
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