8 CIRCLE HILL RD - BUILDING PERMIT APP IN
1
a
. R VBD BY ME
iwjP. WNG GRANTED
CITY OF SALEM
NO, Dab
n.r
k PI"WtY LooMwd In iaostim of
es li In 10 DMhlol?
Is ft"W iv Lao"In
:� soOawiNspnMs9 Y�_No_
BUILDIIMi PEMW APPLICATION FOR: '
Pennk to:
(CIroN whlohowr apply) Roof. PAra InInM Skft CarsWW.DsoK &NK Poml,
Rsps�VRdpl�p�,�I1K: C t-h w�NEY
PLEASE FILL OUT LEGIBLY A COMA—PLEfEL� Y TO AVOID DELAYS W PROD
TO THE INSPECTOR OF BUILDINGS:
The undersomc! Roby appow. for a pormk to W W a000ra q to to foig....
Owners Name Jo y ce1
Address A Phone (�c uE (4,L,-
Amhkoat's Name
Address of Phoro ( 1
Moohanb Nano (uT1�t^t�EM�
Address APhm PAtA0d5r /-® <hJA 110;c"I"K 0611 S"q3- 243 3
Whl M sM p�poN q suMrq? kS D F�j Ctr Ari;
MdUld 41 b:idrgt I Pf ObD 4. M s dws■iq,Ior how MW In niN
vm btdlq oonln b bw
' r
ttoanow oonl. :=.=Cw Lloww• N A art umm•loom 72 =t
a.
Signaturo of Appftnt
SIQNRD UNBER THE
OF PERJURY
DESCRIPTION OF VIM TO Be OW
E Daw,J
' Y IIIII
Ir +' MAIL PERMIT 70 93
,.
I � f .� �_
���
_ r
'.',: i
i• n.
vn _ at .,w� k• a �. r .o i.. . '�A��"K ...x 4�vd .r l
�' • n na ... a.. .. e t
1
p.
�iht
�Sr �
j)y
N�n.
H d .
�',". ..
:,M�f ..
i���,�11�,,typyp..:
A
i
"F'�:� � w
A.
*�;�
i .:
+ '
g,
r y
A
'a .
.,
� �� � �� � �
�� . . � �
�� � , ,;.
� � � � � �
,..
,..
, �
a: ���e, �j
�r'
'I
I�. .,