14 CLIFTON AVE - BUILDING INSPECTION (3) 4
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JMSPZC=PRIDRM A PWW BEING GRANTED
N� CITY OF SALEM
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Permit to: BUILDING PERMIT APPUCATION FOR:
(Circle whichever apply) I SidErtp, Constru Dec Shed, Pool,
PLEASE RLL OUT LEOISLY&COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS: '•
The undersigned hereby applies for a permit to build aocorft to the.followinp
specifications:
Owner's Name `-y b�!R + ��t�,� ►,
Address a Phone 1k Lt,4wa' (tie) )If 32 34
Architect's Name
Address & Phone N l ( 1
Mechanics Name mil'F
Address it Phone ( t
What Is In purpose it be~ ,tom
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Siipbre of Applicant
SK*= UNDER THE PENALTY'
OF PE WURY
DESCRIPTION OF WORK TO BE DONE
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MAIL PERMIT TO:
0� �S
APPLICATION FOR
PERIMT TO
LMT\ON
PERMIT GRANTED
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INSPECT OF BUILDINGS
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CITY OF SALEM
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APPROVAL OF BMDING DWECPOII
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HOMEOWNER'S EXEMP17ONt
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