13 GREENLAWN AVE - BUILDING INSPECTION (3) �t TeE ffL{ ID 'A?PROVED BY T44E
BAI�SI F.CJL I iDa tM.A P T B,EWG GRANTED
CITY OF SA"LEM
No. -Z Oo 1 y< �� � DateZ�'0�
Is Property Located In Location of
the Historic District? Yes,_No_ Building 5A641,t4
Is Property Located In
the Conservation Area? Yes_No_
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, Other:
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 yleliirjz �'- P. o
Address & Phone
Architect's Name
Address & Phone 1 1
Mechanics Name �Do zz . ,L say, (e J l /Z
Address & Phone
What Is the purpose of building?
Material of building? If a dwelling,for how many families?
Will building conform to law? Asbestos?
Estimated cost �?City License If IV A State License •
�� Home Improvement _ O/0 Q
Y �� Signature of Applicant�
SIGNED UNDER T a ��
OF PERJIJ
DESCRIPTION OF WORK TOPE DONE
l Ly .4 /2(CK
MAIL PERMIT TO:
i
1
No. �3 -Zoot (
APPLICATION FOR
PERMIT TO n
LOCATION
PERMIT GRANTED
`7- 7 o
APPROVED
INSPECTOR OF BUILDINGS