7 MAPLE ST - BUILDING INSPECTION -Pis"J"T11E~04010 APPROVED BY THE
Alp==PWOiR TD A.PERMIT ARM GRANTED
CITY OF_SALEM
NO.
Is Prop"6ocam In Ioeatum of
n.NWaie Dlrrdw Y«No V uudi s SALEd�t
Is Piamay t,00Wed In
ar cm swwman Am? ywN NO
BUILDING PERMIT APPLICATION FOR:
Perma to:
(Circle whichever apply) Roof. Reroof. nWH SWN, CWWAIt:t Dock, Shed. Pool,
. Othor:
PIFASH FILL OUT LEGIBLY i COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUMNGS.
The txtderaVied hereby aX" for a perms to build according to the following
Owners Name �I /1� �,YSN/TE 1AZZ4.7
Address& Pharw , 7 MAL-1—E 517 7410— 504S"
Nchiteces Name
Address a Phone 1
Mechanics Name
Address & Phorw c
vem I.nu pumme of trrldrpy P 0 EN T I A L
m"m a txridrloz r a dwsiWQ.for taw many IwWm? _
wr Hl wq con m to t 6 Y 140
em"W aoa /Sod. My uc«w r N k atw um"•
ZS J 4� ta....at
Siprwture of Applicant
310= UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
MAIL PERMIT TO 7 PLE S 64-LEM Mil-- 0/97O
1
N 12!
APPLICATION FOR
PEWW TO
LOCATION
7
PERMIT GRANTED
-7
APPROVED
()WWOR OF EWJILDINGS