29 DEARBORN ST - BUILDING PERMIT APP No416—
APPLICATION FOR
' PEAW TO
LOCATION
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PE MIT GRANTED
APPROVFD
ACTOO OF BUI INGS
CERTIFICATE OF OCCUPANCY .
YES
NO ��
DATE:_- LD 9AQ 7 _
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PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building p r q DQa bpm ,Sf 1 In,f a
Building Permit Application For:
'(Circle whichever applies) Roof, Reroof, Install 51&�ct Deck, Shed,Pool
Addition, Alterati n, Repair/Replac , Foundation Only, Wrecking
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:
Owners Name.- eY i-FP,V MDOre Contractor: A e A .SerVICQ5 f�hrl5 pry
Street �AqP1 DYVl a City sIdSYYYL_ Street 15 Nnr4h _City ]a[cm
State,M Phone (W) �$3 �53(7 State MA Phone, MS) 7-J1"p'1I(P -A
Architect: City of Salem Lic# (H D
Street City State Li( 057 HIP a I D U0 D9
State Phone ( ) Homeowners Exempt Form no
Structure: (please circle) Single Farnily, Multi Family#_ tfCO/ (�
Estimated Cost of job S_3 A (p 14, DD
Will building confirm t law? ,/ves no
Asbestos?__yes2no
Description of work to be done:
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A&A SERVICES, INC.
Drawio b fitted:_yes n0 Mall Permit t0: SALEM, MA 01970
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Signature of App ation,SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX(6)MONTHS OF PERMIT ISSUED DATE
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