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15 HAWTHORNE BLVD - BUILDING INSPECTION (2) fKM4ND APPROVED BY T44E 1NSPFa'T11B PSOR TDA.PEAWr BEING GRANTED CITY OF SALEM No./ \ ow z 7 ob Is Pwp"Locom i1 *...stun of ^�� tjAW Walollo OWlcl? YM No_ 1a47d4oa i k PropaAy Loa.lae h gL4 era C rmwooWn Mau? Yeti_No_ BULLDWG PERMIT APPLICATION FOR: Pwmrt to: (Ckde whidwver apply) Roof. Remd, Install SWN. CWwtnxg Dads, Shed, Pool, RepaidReplace. Other: ///r dyL PW 2 P 17 i c" PLEASE RLL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSING TO THE INSPECTOR OF BUILDINGS: The wxWmigrud hereby applies for a permk to build according to the following specificabowrnin�tc Owrwr's Narne Address3Phone 960 j �7b) 7YS G3a2� Mchkod's Name Address & Phorw f Media dm Name G2t� M clYi-n-� Address & Phorw �8y IPW6 Sy gWeg r9fol qzz 6E9So No is so Pupoaa or txYldlip? 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JOSEPH'S FOOD PANTRY @ IMMACULATE CONCEPTION CHURCH 15 HAWTHORNE BLVD. SALEM, MA 01970 978-745-6303 / 978-744-2532 PARTICIANTS BUILT 5-15-06 NO ELECTRICITY OR PLUMBING VeAnn Campbell, Volunteer Director LOWER LEVEL OF CHURCH BUILDING Greg Murray-Carpenter a c, 042 877 kl c.. 1 0 �2(SY1 T vim=-- ` -� • l© `i i