54 FELT ST - BUILDING PERMIT APP I I }
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Amon 03 M AMNS GRANTED
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l ` .CITY OF SALEM
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BUILDING PERMIT APPLICATION FOR:
Permit Itcr
(CIrcN whbhewr apply) Roof. Reroof Install Siding, .DscK &W, Pool,
RapalNReplaw,
PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS W PROCE81M
TO THE INSPECTOR OF BUILDINGS:
The undemigned hereby applies for a permit to build acoording to fM tollowMq
speaffimflont
Owner's Name
Address A Phare t�Nr(7 81 ) 3 7%- szo,S
AmhitaWs Name
Address 6 Phone If 1
MaI anics Name A t3if
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m tew of 04 W"�� r.dwtatip,W now www WAn?
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—� Ignalure of Appdmnt
SIGNED UNDER THE 111*110'
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
(J/wy l A
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�I^'9 MAIL PERMIT TO•
s.
No.
APPLICATION FOR
PERMIT TO
• 3
LOCATION
PERMIT GRANTED
5��l o•� 2b . ' � -
INSPECT.. OF BUILDINGS ,
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