5-5 1-2 ESSEX ST - BUILDING PERMIT APP . WATOEFWD APPROVED 8Y Tm
imanic=PoM MDA.PF.AW BElt+lp WANTED
CITY OF_SALEM
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BI LWA PERWT APPLICATION Mike
Perna to:
(Circle which m apply) FWo Rmcot, Install Sidlrtp, Co mouct Dock. Shad, Pool.
Otter:
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PLEASE RLL OUT LEGIBLY i COMPLEMY TO AVOID DELAYS W PROCESSMIG
TO THE INSPECTOR OF BU WNWS:
The undwsWmd hereby &W ti for a Wma to (wild a000m" to dta folift"
Owners Noma ,-Ex,4,,) `K -- �1 nJ C c ZE tK
Address & Phow j Ess-Ex Sj
Architaa's Nana
Address & Phone `( 1
Mechanics Name
Address & Phone j 1
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mm"a b1ildYq? II a ONWq,for how mrayr itaman?
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She of Apvicen
am= 1lN m THE PENALTY
OF PWUURY
DESCRIpnON OF WOW TO BE DONE
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MA L PERMIT
S ESSEaE ST
SAL6-ol (-".A . o/ 970
NO.
APPLICATION FOR
PERI/T TO
LOCATION
PERMIT GRANTED
77,-
OF BIALDINW