24 GRANT RD - BUILDING INSPECTION . .........
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UP D aYEIYY, r�xS�xLbU�EttS
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Building Permit AppBeatioo For. Location of Building y � � AAA
'(Circle whichever applies) Roof, Remof, install Siding Construct DocJ
Addition Al.station Repau/kepiatx,Fougdatron Ody, Wrecking
Other.
PLEASE FILL OUT LEGIBLY& COMPLETELY TO AVOID DELAYS IN PROCESSING
To the Inspector of Buildings: '
The tmdaaigned hereby applies for a permit to build according to the following Rmffications:
VlOweedNamc hon- s R\ rke Contractor.
°` Sprat u �'✓a nt Rd City S4)kvA Suect �y
State Phone on) 1}I •d$8 K State Phone )
Ambitect' City of Salem
Stwt J Cis — State Lk# HIP tY
State Phone ( ) — Homww Eumpt Form___yes tan
StruMry (please cirele) Single Family, Multi Family MOtba
Estimated Cad of job$
Will building eoofirm to inn! < u no
Aobeowl___ya pe
Deseriptim of work to be done:
Drawings ----Yek.___)'m no Mail Pt
to:
Srpatarc w APPHUliour SIGN'— ED UNDER TAE PENAL OR PERJURY
CONSTRUCTION TO B ' OMPLETED WITHIN SIX MONTHS OF PERMIT ISSUED DATE
Dept use only: Perm4 Zoning
Permit fee$
COMUNTS: