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296 HIGHLAND AVE - BUILDING INSPECTION (2) fL�11611116'TiIEfKA AND 4PMOVOD 8Y TW JOIs 4cc=POW IDAP.EAPTf3EW0 QRANTED CITY OF_SALEM DW b plainly ucom in 1" tsoa Of MaMo�b OIM�lal9 YM No (/ lau"89 Mo Om unefta AM? Yak_No v KILDING PERWT APPLICATION POW Parmk to: (Circle %ohi"ver apply) Hoof. Rawl Inmu r SWhim Cwwtruct Dads. Sh" Pool. Raep Aspisa. othe Qo_ors --©F-'c" PLEASE RLL OUT LEGIBLY A COMPLETELY TO AVOID DELAYS W PROCIIII& W TO THE INSPECTOR OF BWLDINOS: The urtdersorwd hereby applies for a permit to build acoor" to tlw f WWV OWrwt+aName l r4i A. /�akuq , - Address rL Phorw 7�4110ovs c Lclo S21aw (9 )Pi 2Ny Arddtsas Nmw Address 6 Phone ( 1 rsb�— Madwnics NameC/1/ \\ru iyl cS GG7S 4� , Address& Phorw ��� °l �vla�(� ��"(rrwga-,6v,N (97&' ) 3rz —jWl mm is aw p om a wlow klow oi wYtlinp? COncr4t 6 Look r a meal,to how a y won? Von bw W4 ooniam to law?y[O A lag �d Eo m w eat _/ zo u 9 c ly uaraw r N A area ut► amsUt. I.eravmmt of AppiWt SW W UNDER THE PENALTY OF PEULMV DESCRIPTION OF WORK TO BE DONE _�hlfviG� TiiO �iorr��-c�1� ���/'f �h FrnnL 4PdcrL.�a.,, ./ O .�ir A6�P f2— L'h 1�e IhriuO l�rBWrbllh� Canr°rrurr Qr�FC g&r Ih 7�e Jrcinli w Fljn. 4{ e Agw&t Df' An w!r GCA � SCr -22 3-0 MAIL PEEWITTa, �%�O 116414d 141P, . J�li9hr /* i NO. �p APPLICATION FOR PERART TO PERMFT GRANTED 2.0 APPFKNFD r - CITY OF SALEM,, MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STREET, 3RD FLOOR SALEM, MASSACHUSETTS 01970 STANLEY J. USOVICZ, JR. TELEPHONE: 978-745-9595 EXT. 380 MAYOR. FAX: 978-740-9846 Salem Buildine Department Debris Disposal Form In accordance with the provisions of MGL c40 S 54, a condition of your Building Permit is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL Chapter III, S 150 A. The debris will be disposed of in: / Ell Nh (Location of Facility) 4ao Applicant Date