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2 - 4 DEVEREAUX ST - BUILDING PERMIT APP JACKET ti p 1d0ST-9£fi *D,,ki1D,APPROVED BY T44E .WS.P,ECT0-R ,PiNDj3 T-O.A.PERMIT BEI MG GRANTED 0- CITY OF SALEM No. 2z1 --2©Ol c`��. '� '� � Date ,y � mNE Is Property Located In Location of the Historic District? Yes_No Building — ��f/EQEIf�,{�x Is Property Located in the Conservation Area? Yes No BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof of, Install Siding, Construct Deck, S ed, Pool, epair/Replace, Other: A.een- 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 Address & Phone Architect's Name Address & Phone L 1 Mechanics Name 4 Address & Phone 1 What is the purpose of building? Material of building? It a dwelling, for how many families? Will building conform to law? Asbestos? Estimated cosP d City License# N A State License # Home Improvement LtO�D / ly Lie. i ell ii[ ri Signature of Applicant SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTIO F WORK TO BE DON MAIL PERMIT TO: 6 No. ZI -2G6� APPLICATION FOR PERMIT TO nn LOCATION. PERMIT GRANTED APPROVED INSPECTOR OF BUILDINGS