58 FEDERAL ST - BUILDING INSPECTION T
F311
" -PL* Ml:JST-BE ffUEG-ANG',Aff ROVED 8Y T+IE
.=PfXT.OR PfWR TP`A'PERMIT BEING GRANTED
CITY OF SALEM
No. r'. I qq -ZOO et \! Date
y
Ward
a
Zoning District
Is Property Located in Location of
the Historic District? Yes_No_ Building 56 F" mA(_ ST
Is Property Located in
the Conservation Area? Yes_No_
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof eroof Install Siding, Construct Deck, Shed, Pool,
RepaidReplace 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:
Owner's Name TA A/i 1J , SA9AZ d2AVi9A1
Address & Phone y( W 5V 2.53 7
Architect's Name
Address & Phone ( )
'x Mechanics Name D V S T i o 4/lf:L0 4
Address & Phone , 3�� n7�"/UR!/NHS 6'0 (978) S.3/ 09//
C)1910o
What Is the purpose of building? pl Si r)fct,M An__ r•z�7 f)
Material of building? It a dwelling, for how many families? _
Will building conform to law? Asbestos?
Estimated cost &90 City License p /y 3 State License a V0 (Ett 5R 125 07L3
r
Rome Improvement
Lic. I logy 15 3
•�3 Signa ure of Applicant
SIGNED UNDER THE PENALTY
C K 29 Z� OF PERJURY
DESCRIPTION OF WORK TO BE DONE
L P� A 05 / l;a-) x 57ea 90
EMr�Ot 1'40� IC16W em d oo M oN 4 Ft"
7A5STRLL INEW IC70 u 61749i/Uers oN 2 fLeRood
MAIL PERMIT TO: /�rlo`s c/0.Q5T, 3:L ��A•i Alil�C5 6R
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B AO RD OF BUILDING REGULATJONSr #
License CONSTRUCTION SUPERVISOR
Numb" 080393
811 hire• 0 -/1966
�1—�r—ts -,
• s F_xplres 03/0313d05 Tr.no: 80393 s
FAUSTINON
34 JENNINGS CIRCLE.,,
PEABODY, Atlministrator-
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