7 GRANITE ST - BUILDING INSPECTION pj:*NSj0tSTeE flL APPROYEfl BY T+iE
p�TpR ,PIWR TD A pFj3WT 13JE1NID GRANTED
CITY OF SALEM
�i Date
No.
�a � •
Location of
Is Property Located In Building � ��,�• ��
the Historic District? Yes_No
Is Property Located In
the conservation Area? Yes_,No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Ins I Sidi Construct 5 Shed, �o�l. /
RepaidReplace Oth 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:
Ownees Name
�✓ r i ire r j �� 'r`--
Address & Phone
Architect's Name
Address & Phone �jD Gilder Or4l5
Mechanics Name
Address & Phone 6
What is the purpose of building? Un
�L
Material of building? �it a dweiling, for how many tamUfes?
Asbestos?
WIII building contorts to law?
I
Estlmated cosF
Sa,�38,?-00 city License If N A State License u
xsome Improvement
V Lie. / I \ I a of plicant
N U ER THE PENALTY
OF PERJ RY
DESCRIPTION OF WORK TO BE DONE
CCU c� e � L C6�,S�iu
12
MAIL PERMIT TO:-11-2 In L SZL` �
?
p`9��
No.
APPLICATION FOR
PERMIT TO
,t ,lr ll
LOCATION
PERMIT GRANTED
3 ? t/3
gip. VD
INSPEC4 OR F BUILDINGS