32 DEARBORN ST - BUILDING JACKET NCL
APPLICATION FOR
PERI/r TO
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LOCATION
PERMIT GRANTED
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INSPECTOR OF BUILDINGS
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CITY OF_SALEM
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Permit to. NO SUILD PERMIT APPLICATION FOR:
(Cinds whichow apply) Roof. Raroof,� Dsf�t, Shed,
Rspair/Repk=, Other: R e a tin re l cam,ti� o w S
PLEASE FILL OUT LEdBLY i COMPLETELY TO AVOID DELAYS N PROM
TO THE INSPECTOR OF BUILDINGS: +.
henbY applies for a permit to build acoorc ft to the bllowfrtp
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Owner's Name 23 h Lo I k O
AmhbWs Name
Address & Phone ( 1
Mechanics Nana
Address Q Phone
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THE PENALTY
DESCRIPTION OF WORK TO BE DONE of PERJURY
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MAIL PERMIT TO: