29 CHESTNUT ST - BUILDING PERMIT APP (003) 1�1t�7
1pt-* r1tlST-BE ffUED irN0 APPROVED BY T44E
,WPXTDR ,PRIOR TD A.PEWIT .BE.lNG GRANTED
CITY OF SALEM
—a, 3
No. /:�`? Date - a
\`a Ward
\A�Ccy�ryr�° S Zoning District
Is Property Located in Location of
the Historic District? Yes No_ Building 029
Is Property Located in
the Conservation Area? Yes_No_
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof Install Siding, Construct Deck, Shed, Pool,
Repair/ eplace, 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
Address & Phone ;2- A44 ( )
Architect's Name Av�
Address & Phone
Mechanics Name -
Address & Phone D
What is the purpose of building? /1tL� 1A-7,� i Al
Material of building? ��7 If a dwelling, for how many families?
Will building conform to law? Asbestos? �/V,/)
Estimated cost //I 0-0-0• City License # /3 9 State License # d 0
Home Improvement
Lic. 1 m,11o43
i atur 6'foplicant
IGNED UIJDER T PENALTY
F PERJURY
DES,C IPTION OF WORK TO BE DONE 1
MAIL PERMIT TO: %/'4,'
a
- t
No. -��
APPLICATION FOR
PERMIT TO
LOdATION
PERMIT GRANTED "
19
PROV�
m�
INSPIECTOO OF BU LDING )
a
Il