182 LAFAYETTE ST - BUILDING INSPECTION 10 per 7r,oj, x
44dWS1RiST-9Ef#L+B-ANG APPROVED BY T*IE
,=.PXTQR PR,UR Tp.A PERMIT BEING GRANTED
CITY OF SALEM
No. f 7 S-2,o O r/ ``� .. `�\ Date
NB .
Is Property Located In Location of
the Historic District? Yes_No &--' Building
Is Property Located in
the Conservation Area? Yes_No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool,
Repa eplace Other: 7,�Z Oegrse ' c.
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 PL4 Sf i&i t
Address & Phone
Architect's Name
Address & Phone f )
Mechanics Name
Address & Phone M ar��,.,. /�u-e-1711�P t•�l� (7Al ) 3� 9�'�
What is the purpose of building?
Material of building? It a dwelling, for how �'many families? d
Will building conform to law? V Asbestos? lien
Estimated cost 7�/L y� City License# N p State License ik�J�^ 02
Home Improvement
Lic. d
Signature of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
MAIL PERMIT TO: /�i� �JJG l001.Arr'.l "y'atly1.
't
No. 17S -ZcSpy .
APPLICATION FOR
PERMIT TO
LC 41>��
LOCATION
' PERMIT GRANTED
: 2-0
AP ROVED
-7r
Il SPECT R OF BUILDINGS