86 FLINT ST - BUILDING INSPECTION fL SfifIiiST�EfiLf� Jf3 APPROVEO BY T+IE
W5PFXTDR PFIW `CPA PERMIT.BEWG GRANTED
CITY OF SALEM
U � R�3
No. yly i,\, Date 1a�
4
Is Property Located in Location of SG rl l n l C
the Historic District? Yes_No Building-7
Is Property Located in
the Conservation Area? Yes_No�
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roo Reroo nstall Siding, Construct Deck, Shed, Pool,
Roo
, Other: ��rrvLex' ss i bl� r
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:: 4 p �If'� ) II////
Owner's Name � a .Ft ) f I VL /� f W/e
Address & Phone-7 9�l s ( .I'rrJe— & Oyu, (q7�) q5-a.S
Architect's Name
Address & Phone ( )
Mechanics Name
Address & Phone )
What is the purpose of buildin 71!, •_°
Material of building? It a dwelling, for how many families?
Will building conform to law? _A Asbestos?
c
f� Estimated costW,50 . 00 0 City License # N P State License #
Or *L}q, Home Improvement
Lie.,13oS" Signature of Applicant
242-2no 3 SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO E DONE
RDT darn c�ILq s-;- x. C b8 2)na.4—T0OSSY to Gi c�ci�� i17�n
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iF9i �2 s ��P�VE+1�u2/ �ev2/ �l�s 6a.
MAIL PERMIT T0: 5 rTob) 5 rc-lp SQ41ehl P�� xxousraw� S
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.t.
No. 2 1 Z- Zp Oq
APPLICATION FOR
PERMIT TO
I A • _ ^ � �h
LOCATION.
PERMIT GRANTED
9 zoo 3
APPROV�D
INSPECTOR OF B ILDINGS