48 DUNLAP ST - BUILDING PERMIT APP JACKET i
-FtAM 1MOST-9E fiLf� APMOVED BY T44E
,MPECT -R PF JDJ3 TD.A PERMIT BFJNG GRANTED
s �
CITY OF SALEM
No. 1 5 7- Z O O ye:` �'is Date S -Pt�-a3
ILI
�q hINE
Is Property Located in / Location of
the Historic District? Yes_No_ Building [7vtil Lx> rjf•
Is Property Located in
the Conservation Area? Yes_No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool,
palr/Replac ,)Other: VA-'1-14 R—og&w-
-------------
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 ` kO-6-Vz14-
Address & Phone A-8 Dvrf ftE -or- 6&je,,tL Mk,) 74y 2630
Architect's Name
Address & Phone )
Mechanics Name A1%lP1*A�,rTRyC fc-tj E
Address & Phone )7.SWAIN �T• V rE l g (q ZS) q'7-c?46
What is the purpose of building? 2 fin^' I�INtiGttM� fzrF1r►t+n L
Material of building? tINc If a dwelling, for how many families? 2
Will building conform to law? Asbestos? K6
Estimated cost 10,625 -City License # N A State License# 04 T
5 00 Rome Improvement `
'T6��Z-1 Lic. rtrzT X Signature of Aoplioant
SIGNED UNDER THE PENALTY
OF PERJURYfrAx- FU4�N1
DESCRIPTION OF WORK TO BE DONE
� t-tt P>-L4 �. Agy -+W a 62, WAa \6
MAIL PERMIT TO:
't
No. IS `7 Zoo y
APPLICATION FOR
PERMIT TO
LOCATION.
PERMIT GRANTED
APPROVED
F77/L
INSPECTOR OF BUILDINGS