26 GABLES CIR - BUILDING PERMIT APP i if� 1
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I�ISJ??ECIAf� I�.l�JD� D; PET.B,EING GRANTED
CITY OF SALEM
No.—`oVS yex, i Date
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Is Property Located In Location of
the Historic District? Yes_No_ Building 2 L G a Ind ,c a f_
Is Property Located In
the Conservation Area? Yak_No_
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, eroof Install Siding, Construct Deck, Shed, Pool,
Repair ep ace, Other: S`r a, R t2 0-h 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:
Owner's Name 0—k A Q L , => C L k F 1=o 12b
Address & Phone C-�-a bL,� C 2c L...o L ) 2 4 4 U 9 U,?
Architect's Name
Address & Phone L 1
Mechanics Name L .. C, b o Lye C-, .c.h
Address & Phone 14 9 M A c S'T 'L'a o h,,oV L'29 47
What is the purpose of building?
Material of building? If a dwelling,for how many families?
Will building conform to law? Asbestos? r'
Estimated cost 3 \ "city License# N P` state License k 0 S 9 U 9 a
Some Improvement
G 1 Signature of Applican y' it
SIGNED UNDER THE PEN*klrY Ili' 1'
OF PERJURY ,14
DESCRIPTION OF WORK TO BE DONE
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MAIL PERMIT TO:
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No
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APPLICATION FOR
PERMIT TO
t LOCATION
/�1996�65 Ci`rc
PERMIT GRANTED
AP7VfD
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INSPECTOR O BUILDINGS 1/
3