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22-24 HANCOCK ST - BUILDING INSPECTION
�7 k9llST-8f f -EG--A 0 APPROVED BY T44E W5,PECT—R ,PRWR TD A PERMIT E,EING GRANTED J _ CITY OF SALEM - No. \ _ ) � .� '*�� Date C� y ar4� ' Ward NEI�y� Zoning District Is Property Located in Location of the Historic District? Yes_No / / Building 72-.2-tt �waeark S 7 Is Property Located in / the Conservation Area? Yes_No lL BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) R f, 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 QI/�� LA 17 (7 IA I e o hldFc4l7�r�di,� Address & Phone ©o Il Mt OPd (CPS(CPSI SE VT`T '9-4 6 -2— Architect's Name Address & Phone ( ) Mechanics Name Address & Phone ( ) What is the purpose of building?j� rjc-,t7 f ;4 Material of building? If a dwelling, for how many families? Z WIII building conform to law? Asbestos? Estlmated cost qad o Cl License>eStPe License(::: # Home Improvement - \b Lim. ignature of Applicant \(� JJ SIGNED UNDER THE PENALTY ) \ OF PERJURY DESCRIPTION OF WORK TO BE DONE I y j?r a�in lRe�e- o �CT< kr. C�Ihl�itos' IS ) CocvyTP/i-4 11 MAIL PERMIT TO:PAv� CLA6ZfZIy) 3-� koI71Jw nOD A-Je- (3eQe(Z (y ( Mto , No. APPLICATION FOR PERMIT TO A� e LOCATION PERMIT GRANTED AP ROV�D INSPECTOR110F BUILDINGS