1000 LORING AVE - BPA 05-349 REROOF OK
gPLI NsMMOK qD *AIMVED BY 744E
JMPXCMB PWR TD A'FE Iff UM GRANThD
CITY OF_SALEM
No. Dm -�- d v-z
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Is Pwp"bead In / Loeatim of
ft— initDWkd9 Yos No V BOLUS" /Vdd
Ih PlOWN L00210d In
: rN CanMYMlon AIm4 YaM NO
Permitb: Govik3 % " � wie � 06 LoNri, s eh4e
(Ckcie whk:~apply) Roof, RaroM, n" SMinp, Construct Deck, Shod, Pool,
Olhar:
PLEASE FLL Otf T LRONLY A COMPLETELY TO AVOID DELAYS N PROCE8faC0
TO THE INSPECTOR OF BUILDINGS: '
The undwsiprnd hereby applies for a permit to build accorcftto ft,tkwkp
speciftaftne.
Owners Name A I M C o
`/ JJ �9 �ratti ree /�9t�
Address a Ph" 3 `1Ce sue• (7911 )eq 9- lY7/yam
kchkwra Name � e g c-OXA SQ/e s
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Address & Phone V4= (yW) 9V1 -S2 `l d
McManics Name wc, i ti f c k r
wef pov , 19-1
Address d Phone &o6y Se,
1, 6V ?11/t/ (SOB) co 7y-08
whr a P•vo••
sr cr /- t �o r�. �. t1 � A Aq e(
by d ow mmy UmMt9 AIA NlflfaWd ivlwta,�.,, Y Sfaccs M• ,for h
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raa wdmgrn awr7 Yes MeoMo�9 /Uol e
(t�J Goo Eamm Z 06 cKy uw• sw.uo 1 �.19 -QZS 6 Z �0 3
,0 afrmom Improveimomt
Lic. 0
` SIp"m of Applicant
alB�l�o unD®t"a PENALTY
OR PPUM
DESCRPTM OF WOM TO BE DONE ,J / ' [ /
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