429 HIGHLAND AVE - BUILDING PERMIT fL."6*W6i'.0Efilffil4ND APPROVED BY T44E
AgpX.C=PfJIOR TDA.PERMIT 1JEING GRANTED
CITY OF_SALEM
NO. oaa c5�.9
is y Located in Location of
am midalc 018i t? Yes No, wing
is Property Loomed in
aye comerredon Ma? Yes No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Sitting, Construct Deck, Shed, Pool,
Repau/Replace. Other: V)iPw6\'% r,011
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:
Owners Name 0k &14.T7T
Address & Phone C) STah 5Z /✓h4J r&A (-Xl 1 760— 1/2
Architect's Name ' s Jza
Address & Phone D nn/ 1 sV 0,
dr. % ST /7 I f✓S7_'l I/o�
Mechanics Name PI'l rCjn0ja dgy1STrUcoT c)4 i-
Address & Phone /� L�ua�i hurl �D t5 a$1 '89-d1=1
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meww d k"V? [c90-b I a dweW q,for row many lami m? /VUdrl91
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Lic. #. ISignature of Applicant
S.tgED '.'mDE!R THE PE14AL,TY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
1 J�yNtS(iT,d✓1 Z� ex ;�,7,"/'!�1 STr/y_ �� .%�ivt� -
MAIL PERMIT T0:
V
NO.
APPLICATION FOR
®ERWT TO
LOCATION.
PERMIT GRANTED
APPROVED
OR OF ILDINGS
Y