326 ESSEX ST - BUILDING PERMIT APP {
,
fLMNslAIISTOE fUW4t0 MWROVGD BY ME
J OPACMM PffII R TO A'.!!tiff IONG GRANTkD
CITY OF SALEM
s ow
Vftd
Zoo olam
Is Pl"p Y unam In Location of
sw lislodc DIMAcI? Ye No_ satin �ol � S, f
a Plawly Looftd In
NN Can umNon Ame Yes No
Permit t0: BUILDING PERW APPLWA710N FOR:
(Circle whichowr apply) Roof . Inod Sidkfp, Consum Do*, Shed, Paul,
. Olfler:
PLEASE FRL OUT LEGIBLY A COUPLET IF TO AVOID nm jIfIllm- pparimmm m
TO THE INSPECTOR OF BUILDINGS: '
The urldersipned hereby applies for a permit to build aocmdftto Ow.bMowkp
gym:
Owners Name
Address A Phame
Amhitoct's Name
Address d Phone ( 1
Mechanics Name d o -�4 )h �i/ � O � �G/
67
Address 6 Phone �d��-ems//w 6o
whd Is Naf pupm it b~
AMW W d 6u1dYq? N o for how mmy Imidn? L a�
VV0 t LMft oonI n fo law'/
EWamW cW 1 600 CNY Uoslwa• 6� atata Uaalrla•
f) 7 6 7
N.3 b b 17`�-a"
SomM n.of Applicant
i1®Ni0 UI�l THE PBNALTY'
OF Pmum
DESCRIPTION OF WORK TO BE DONE
i4 N
Ieee
MAIL PERMIT TO•
,� � - _.
1
r { !
f
,a
L .
��
• ... ,
W,w. ... n. .,
� ., __ �
."$r.
"\
� � � . �
� � �
� � -