7 CURTIS ST - BUILDING PERMIT APP ck 7i5
-PtA S1VIHST+IE fHiED-AidD APPROVE{) BY T*IE
,WSPECTDR .PFWR T-0 A PERMIT BEING GRANTED
_ CITY OF SALEM
No. V I V N�t� '�\. Date
Y re
r f W and
� y -
�A"cimNeo�° Zoning District
Is Property Located In Location of
the Historic District? Yes—No_ Building 7 Ct7iy t
Is Property Located in
the Conservation Area? Yes No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroo 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 P 41-1,g3 02-tzp/ y
T _
Address & Phone 5 9/e n (f? }-53/ f�-2
Architect's Name
Address & Phone ( )
Mechanics Name S7'�tfLl Cr�Y�
Address & Phone �._ /)3o/*/'/'F/& (g7Yi s3/—/l��y
What is the purpose of building? /(Psi oely 7;-i C
Material of building? WM/-? If a dwelling, for how many families? A>/ (�
WIII building conform to law? Asbestos?
Estimated cost !o r 40 e City License # �J/ J State License # o a O�
i
Home Improvement /
Lic. 1106 a 6 v7 —
7 a al Sig ature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
MAIL PERMIT TO: ��
.1,
No. \ — \ l�
APPLICATION FOR
PERMIT O
J
LOCATI N /
PERMIT GRANTED
AP71'1,e�e-rz"�-
�D
INSPECTOR rDF BUILDINGS