12 GRAFTON ST - BUILDING INSPECTION III , i
- ' DATE:
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PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Building Permit Application For. Location of Building/,I 6mA-10,A Sr SI-M&W
'(Circle whichever applies) Roof,Reroof, Install Siding Construct Deck, Shad,pool
tro "Alteration,Repair/Replace,Foundation Only, Wrecking
PLEASE FELL OUT LEGIBLY& COMPLETELY TO AVOID DELAYS IN PROCESSING
To the inspector of Buildings:
The undersigned hereby applies for a pmWt to build according to the following specifiptiour
Owners Name: je/ P,gOGeT1" Contractor.
Street GraF1in s7' City ,S_ 44kPw Stmet City
St&te,s=-J_ Phone (9 o — 97 State_ Phase( )
Archilm: ff%G/Va e f/s°z j/ig City of Salemof Salem Lu:N
Stint Pa x f//37 City_ Statel B�#
State f A•_ Phone RXI) 2 3/ - 92 y,! IEoomwoers Exempt Formes n®
Structure: (please circle) Single Family Multi Family#0ther
Estimated Cost of job S 3 S, 000
Will building confirm to kw? ml no
AsbaAas?__yp_ o be�go
Description of work i done:
Drawings Submitted:!/y no Mail Permit to:
Sipsature of Application,$IG��ER.rP.v PENALi j OF pSRjURY
CONSTRUCTION TO B a
gOlYIPLETED WITH
IN SIX MONTUS OF PERMIT ISSUED DATE
Depa:tnent use only: _�
Pia ; �— zoning
Permit fee S
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