26 DUNLAP ST - BUILDING PERMIT APP JACKET pL.*"g*WST.OE f*&94Ao APPROVED BY T+IE
WPz=W PWR TO A.P009T B1IN0 GRANTED
CITY OF SALEM
No.4�G Date
Is Properly Located in Location of
the Mlslodc Wind? Yea No Z—
I6niLdins A -Dun
Is Property Located In //
do ConaervaVon Area? Yea No(/
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct D Shed, Pool,
Repair/Replace, Other:
PLEASE FILL OUT LEGIBLY 6 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 V/11 tr i e-
�/}d�e l
Address & Phone
Architect's ame
�Ad ress-1-Phone L 1
Mech ' ams
Address & Phone j 1
What is the purpose of Wdding? - -
MsMrW d 104ddlrq? (AA26 d a dwellft,for how many families?
WIN bulldirtg oordorm to law? 5 Asbestos? ti C)
EOnated coat 3 O00.00 cay Uoerae u N slate Iat
Rome Iaproverent G1g�
Li`. I /— ; Signature of Apoicant �
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
BOA' -bc-ck oA l�/�ck c)� {'lode -�o Sw M•� �� �Od �
MAIL PERMIT TO: LU,0/90 5) . &)ewi /4X 0�� 70
S
APPUCATION FOR
PERLUT TO
LOCATION.
PERMIT GRANTED
2-7 2.06.E
APP OVFD
114VEQTOR OF BUI IN SS
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