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7A GRISWOLD - BUILDING INSPECTION ! I �4.iIMSiNl�6T�EfIL-EDArNfl APPROVED BY T44E JWfXTDB PHIDR T ,A.PERIIAIT DEMO GRANTED C. CITY OF SALEM No. -3-��i D� ;;:5• . � Date �r.. Is Property Located In Location of the Historic District? Yes No X Building Is Property Located in the Conservation Area? Yak No BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) R Install Siding, Construct Deck, Shed, Pool, epair/Replac , 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 13 ,48 v-e' u { i Address & Phone 7-A Gr>S L,v old fir. ( ) Architect's Name ),j /A Address & Phone �14 j ) Mechanics Name Qo b e., J, L 17e LA C ux Address & Phone /- (3 What is the purpose of building? (G cx e x Is t< f Z Material of budding? If a dwelling,for how many families? y Will building conform to law? Cfs Asbestos? N a Estimated cost � D 1)U city License x N A state License'f ©/ g 3 '9b Baran Improvement 0, 06 Lic. I X Signature o Applicant SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE MAIL PERMIT TO: Vf�l/yiQ/� y No. , 333 L APPLICATION FOR PERMIT TO LOCATION PERMIT GRANTED APP OVfD G , INSPECTO OF BUILDINGS i Lf9 wrawawr b jx"wtar Aacnswa OWN al-'* m 6" Wiakhos w&red B"%M4.I2111 trtroa.atr.r�. Ww1we Caspeoud=It mmace AMbv& inben Anntlea.t 1shmad" rhm PM lAu ibhr Name �oS � �. G .� ewc Adl9mw I- ))-f zc c Uj ab PlMfie 9 -2 >q-s-e" V/ Are yw mom~CMA tWappoWhft-bm 7y"dp vjw*4vkvft 1.❑ 1 as a aeDiay�wid a. 1 s s'psaat mednler sd I l ❑ldeareosMraetfaa eeeobyee�(td aadAor�rtdms}' bm lies tie t M 1, - aelon 2 1 s a cote psopetesor ar partsa- god a an ob d sleet t 7. CIRemoddbg iiy sad lava so mgloyaa Them aD•movaelos u" t. ❑ DemoNn waetde8 *WIN tw0��4► �'an*iaarasa 2 (]Bwmbg adom [Ns ! 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