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1 ESSEX ST - BUILDING JACKET
� /�o . o � � . �f �'o � �,����� ��� 8r � � JdS�PFCILIA P91QA TD A PEAMIT BEWG GRANTED No\�` �� CITY OF SALEM � � � \ o.m /7 p :�, r`�d� Wud �� � a� �s P�y� h Locaeion of MN Hietohc Dbtrkt'r Ya No� Duildias � � S 5�.�' �� is P�o�.ny�o�.a h ✓ �,�,.� � / :� Ih�Coro�tlon A�9 . Ye�No BUILDING PERMIT APPUCATION FOR: Permit to: (Circle whichever apply) Roof, Reroof, Install Siding,.. Cona�u ct peq�, �hed, p��, Repair/Replace. Other: (yl a� r�,r WCPn�r�Ua1'i r��, PLEASE ALL OUT LEl�BLY 6 COMPLETELY TO AVOID DELAYS IN PROCEggp�l0 TO THE IN3PECTOR OF BUILDINOS: ' The uridsroigned hereby appNea for a permit to build accordtiig;to the.following speci(icationa: _ Owners Neme ,!"I'Gi 1J '6�G��I �. ' Address & Phane 3�� ����� �'-F. � c � �u�— �"1�� An:hftect's Name Addreas � Phone ( 1 Mechanics Name Address & Phone '( � wnu b a�.wao••a ew� a ti d' MwAtl d bulldrq? (7 ' rt a WwIMq.lor how mrfy hmllesT � WAI 6uNdrq eaAam ro Iew9 l. PT A�baeloeT /J n? E��d 00lt ��(?.na�_p�_(,�y LfCMIN M `�' O $hq Lk'�11N N �C�IJ c� ! �- � 90�! I�IOM�Yt � � . i4C. /,/2�(0�� �� ' Siqnature of Applicant $�1�€� !El�R S�c' i�i/1LTY' oF �ru�nr DESCRIPTION OF WORK TO BE DONE ,���1 /� ( �N O� �I �.nJ MAIL PERMIT T0: � �i�!�V i P �,.� �� �G r�);�� (S /Y1� �Iq�3 ; � �. \��� APPUCATION FOR PERIRT TO LOCATION / �5 �Pi S�� (A�,;��� . PERMIT GRANTED �//7�� �I 19 APP�V�D l �D'ds,� �' � 1 OR BUILOINGS �.- . , ; , , ; , ::_ _ , , , , � , ;_ , , �_ . _ ,_ � ; ' , _ ..- - - _ . , _ - , ; , : , , �. ; �: � , ` i� � _, �. ' � �_ � - , � I � � , � . � , ' I ��� �� �� ;.. � , . �Sttx, �. . , _ � —_ , +_ ; ,,_ ., , { ,_ ' _ _ . _ , � ; . � I ; . � i �. .. . . . ._ _.p .1 .i._ . , - !. � r � . �� � � !. 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M _ . . � � _ _ - _ . _ : ,r _ _ _._ . _ _ _ � _ _ _ - - _ . , � - - - __ , _ _ - : _ _ � __ _ _ � . - --- , , _ . _ _ ` � , __ _ ��;., _. __ . _�. __ � ; _ _ _ __ _ . :. . , � ,..:_� . _ _ . . ;_ .__ . _ _ _ _ . _ _ _ _ _ _--� _ _ - _ _ o _ _ � _ _ _ _a . _ __ _ _ . __ __ � _ :_ _ � _ , _ a _- - -._ _ . . _ . _ - - � . _ _ _ s- - .�� � _ . _ ` � �__ � n =� _ -�- �'` . _ __ _. _ _ _ - _ _ _ . _ _ _ __ . -- _ _ _ . __ __ :. . I_ _ ___ _--- , : _ _ _ _ . � .. _ _ . . _ --, � _ � , _ . � , . _ __ . � __,_ _,r What is the current use of the BPuiilding7 Material of Building? L✓�adry � If dwelling.how many units? a Will the Building Conform to Law? Y-i-5 Asbestos? Architect's Name l�uti o w Address and phone Mechanic's Name a- ` L Address and Phone So '^-�"' �'�n S Construction Supervisors License# HIC Registration 0 Estimated Cost of Project S-15 -� Permit Fee Caleularion Permit Fee i d J Estimated Cost X$7/51000 Residential ..------........-- _ - --- Estimated CostX$41/$1000 Commercial— An Additional $5.00 is added as an Administrative charge. Make sure that all fields aro properly and legibly written to avoid delays In processing. The undersigned does hereby appy for a Building Permit to>W W to th above stated specifications. Signed under penalty of perjury Date m v SN s � a r EITy-©FgALEn - - PUBLIC PROPERTY DEPARTI4I NT K1.%GWl:H EV Dt1KLM 1 /���✓T NAYM 130 WASUN=W b'.ME T• VV SM&Jk15h11S 01970 7fi 978.745-9S93•FAx;M740.9W APPLICATION FOR THE REPAIR. RENOVATION, CONSTRUCTION DEMOLITION. OR CHANGE OFUSE OR OCCUPANCY. FOR ANY EXISTING STRUCTURE OR BUILDING 1.0 SITE INFORMATION Location Name: E_ Building: - S Properly is located in a;Conservation Area YM Al Historic District YM 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land _ Name: ( �s S P S l Q f ✓� n. 0..s. (rte Address: ( VSs Ce— SST��2T S -Q-t.-AA ✓&-t Ar- b t Ct 4o Telephone: 6 19- 3-eB l 4- 1 3.0 COMPLETE THIS SECTION FOR WORK IN E'X STMG BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated 7> Change in Use New Demolition Existing Approximate year of Kuovnt-adArea per floor (sf) Renovated cop (5! construction or renovation aDos- of existing building New grief Description of Proposed Work: _ --- — - - — -------- - - -- - - --- — Mail Permit to: Y c 6 s ass -r c9 1 �b /•� c� tou 14MMIMAT-SEfLOWM9 APPROVED BY T44E JdSPJc M PRLOR TD A PERMIT BEING GRANTED CITY OF SALEM V` \ 06% 1 C and ZOf*q DOW s Property Located IMa Historic Dktft?� Ya DaLujm No / of so�,ai� ! 'S$e r S Y' Is Property :.. � s Located in L »COroervatim Ana? Yea—No Permit to: BUILDING PERMIT APPLICATION FOR: (Circle whichever apply) Roof, Reroof, Install Siding, Construct Dqqk. Shed Repair/Replace, Other: MCq)e r PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSING TO THE INSPECTOR OF BUILDINGS: '• The undersigned hereby applies for a permit to build accor&ig.to the following specifications: -� J . Owner's Name I ct�r A Address & Phone Architect's Name -�w.ttv-, Ike 9-d r^ _ Address & Phone Mechanics Name Address & Phone f Whu Is er purpoN of bundW 2 n eeo .g MMWW a Wk rr Int)o e We dw.wg.for how n"ramaaa 2 wo ta**: to law? Asbo s? N&r) e EaWnatad oo .0 t 0 GO. CRY ucwm a staa uarw a 7 aa�a ra�cva.nc Lic. e /�qa 3a Signature Of Applicant SIGNED UNDER THE PENALTY, OF PERJURY DESCRIPTION OF WORK TO BE DONE �_��.�,. •t 13 QVC° � � s MML PERMIT TO: Pi i1ko it Ae c-jye- NONA(,\ APPLICATION FOR ,PERIRT TO LOCATION I Esse" PERMIT GRANTED APFAOVfD ((140wn,v .� INSPECT OF BUILDINGS r,.