44 ESSEX ST - BUILDING INSPECTION No. �� V�
APPI ICATTION FOR
' PERW TO "
LOCATION m
PE MIT GRANTED
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AP OVFD
INSPECTOP F BUILDINGS -
CERTIFICATE OF OCCUPANCY
YES ^ <
NO �• �
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P1 M I ' • t, (.ems � t ( S ' a
DATE:
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'I PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Location of Building yy k2 ey
Building Permit Application For:
Circle whichever applies) Roof, Reroof, Install Si ' tract Deck, Shed, Pool
Addition, Alteration, a air/Re la , Foundation Only, Wrecking
Other:
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:
Owners Name: Contractor: C h r i s t n p h P r Z o r 7.g
Street �y F�-(r.0 ,�Cin , Street 1 1 5 yn r t h S t r P P t City--_S a 1 P m
State Phone (M) -745--7 702 State MA Phone (978) 741-0424
Architect: City of Salem Lic#( 14 0 5
Street City State Lic#0 5 7 7 3 3 HIP# 101609
State Phone ( ) Homeowners Exempt Form __yes V"no
Structure: (please circle) Single Family, Multi Family# Other C��'Yyl0
Estimated Cost of job S 0-o
Will buildins?_g confirm t law?�yes no
Asbestoyes7no
Description of work to be done: /W
I,u�nd�rcz5 .
SERVICES
Drawin ub fitted: es no Mail Permit to: 116 NORTH STREET
X $AT E;lq b f,�} 6i878
Signature of Application, SIGNED UNDER THE PENALTY OF PERJURY
CONSTRUCTION TO BE COMPLETED WITHIN SIX(6) MONTHS OF PERMIT ISSUED DATE
Department use only: Permit _Zoning Map/Lot
Permit fee S
collE=S: