17 MALL ST - BUILDING INSPECTION (5) . nlligz
Citp of `�afPI7Y, 01A!�E;arbugett!
PLANS MUST BE FILED AND APPROVED BY THE
INSPECTOR PRIOR TO A PERMIT BEING GRANTED
Iaeation of Building f 7 1"Al-t S/. SALE, .
Building Permit Application For:
'(Circle whichever applies) Roof, Rewof• Install Siding,Consauct Deck,Sheet,Pool
Addition, Ahesation, /Replace, ousldation Only, Wrecking
Othw.
PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
To the hopector of Bui►dings: '
The nmdaatgned hereby applies for a permit to build aaording to the Mollowing qw fmdonr
Owned Name: M&DA l AG(- Contractor. 6HIP &I.L/Tg1C
Street city Sheet City
Stan Ala Phone V.?1)_ 3 — 4�58 State Phone( )
Ambl ow: City of Salem Lictl
Street City State Lko _HIP M
State Phone ( ) Homeownen Exempt Fotm� tw
Strumre: (please circle) Single Family Muul�ldd��Family N Other
Estimated Cost of job St r��D
Will building confirm to law!„_yes snoAsbcaw? Q
___y
u so
Description or work to b done:-0*1m/16Y O',4A0 FiZ AzR6
Ghe�n
Drawings Su ed:__yes_ZC no Mail Permit to:z
SCvgi�7�SGo /�1.9 O/4o
S'P'aWA of Applicadoa,$ GNED UNDER's HE PENALTY OF PE3AURY
CONSTRUCTION TO BIPOMPLETED WITHIN SIX(O MONTHS OF PERMIT ISSUED DATE
Department use only: Persttl{# Zoe
Permit fee S —T—
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