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56 PALMER ST - BUILDING INSPECTION
U �I�NB eE APPROVED BY 744E J UPECTEIR PRWR W A ,P W BFJNR GRANTED CITY OF_SALEM 'o. �� Dab "OY V\,WI )A ward ZQ*V O18W 1s ftv"Locam M Location of U»mm"Ic omm? Yss No_ o""Jaa Is AMMy LocaMd In • dN Conn madon Ara? Yu No Permit to: BINLDING PERMIT APPLICATION FOR: (Circle whichever apply) Roof, Remof. Install Sidhg, Construct Deck, Shed, Pool, Re i R plaits, Other PLEASE FILL OUT LEGIBLY A COMPLETELY TO AVOID DELAYS IN PROCESSM TO THE INSPECTOR OF BUILDINGS: '• The undersigned hereby applies for a permit to build accorcLig.to the.folkwirtg spectlics" s: Owner's Name 3 4 rj Address A Phone //a �Q.V"YJ S-�— Architect's Name Address d Phone Mechanics Name Address a Phone ni k1910A14a mkpw 61) 164(g3 y0 WMA Is Vo pmpoaa of buYdlnp? MsInW of buldirp4 8 a dwaf tg,for raw mmy%man? wa bulking conform to law? Ashabs? leMmsla .ooa 1�0�7•`w city um"r ue. ;sty -� S n of t sKiNED UNDER THE PENALTY' of PEwuRY DESCRIPTION OF WORK TO BE DONE MAIL PERMIT TO: JIL,U�etor-Ae-L DF Mfi� iy_ yu A- C7o�-(4`<K, APPLICATION FOR PERMT TO LOCATION PERMIT GRANTED 19 vfD INSPECTOR OF BUILDINGS J (.,ontmatuuea[�i o`I//awaehws�d . � •�•p••fssaf e��.4�rid�atlleals- boo wae�fe'fsrt� - .sie..a Bads% Me..ei .6021/1 Workers' Compensadoll iltMMAN Affidoyh . . whil.a pr6cbW pba of 6m_ine/ts an c�,5(� ��GJGV��/• 1� C �1;� )'1/L�-L I��'✓U YVI,I� lJ,�i r-ffi� . i do hateby•cer* undo the pabs and peaiNes of pas*ye dsaa 0 1s an employer pmvldbW workers' comPemtieo covgs fe for mY eiapleErese workiep on Insurance cempWV Po unsber 1 am a sele proprietor and have ne one working fir me its am opacky. (f�l am a sale proprktor, eneral wntra or homeowner (drde ons) mod hew bbW rho corarattots listed btlow who•haw t e following workers' congpen atloe pond= Insurances camp"W/Poft Nemiel• Contractor Insurance Con%patry/po NM4W Contnaor Insurance Company//o! Number 0 1 am a homeowner performing all the work myself. •1.w.ww"ew r c.q.f ei aawr.e...a be forwrou ■ On 01ic.it lwv=* .+.of ft our for Coww o.wihaw me an lam r mm ce wRr Al r..wce~S.cwc MA of MGL 15 2 can kaa r ar;room;w of aririi s.aadn arwdnt of. An of w ni IJMM nver am rraf i.re..en.r a ws a 44 maids in rhr .an..t s STOP WORK ORDER me r it of S 10CA0 s an River. Signed this , 1 &' of :;terse' Fertnittss Braiding Depsr:06ent UCtnSln( EOare Selectmen Office �catth Geparmer.- _• % = eeCC 'S - _ see 4(+c aoe ��c F tiKK�worprrr oaa�pR lap n1uM�wteM amr swenoon aKo�w►ot�ro r�cnu��seeas DMPOlALanMXAM Avrr b aaooidaaae wtd pao�lato�a dam e 40o 2%I mtboe Mmvw oat r a s mm a dLs ooa�aoltoa aad�y dbpoaal SeWgr.r da�ad b Idly.a� dia a paopaddr lteaaaed • 1be ddadt wm be ddpaw/d�! a ovw S Lealioa dlaeiW4r . d Applk�t Dab PLIIi,Y oampfab oe oDowlai QiaAM P M Q.d11ZL1E7 Aimee dPa�mit �6) LG�. S LLB Phm Ion i[a4► c � Addtea�Gi4► dhb 'U above abtab M*w oat M&dam to d®ddM reo.,dM.6&..a. &%1Ww dbWWbS w*mMw be dtapoeed m a peopedy4foomd aotlta-wmb�p� �y•dWIDW by UM dQ SIMA aad dw bdift pmo or&WO m to bomb dr bead=dot hft. y nQYE AO CITY , OF SALEM BUILDING PERMIT . 56 PALMER STREET #3 596-05 cis#: 10676- 71 COMMONWEALTH OF MASSACHUSETTS Map:, 00 a I CITY OF SALEM Block: . Lot 0169 _ 'Category IREPAIRlREPLACE Permlr# �596-05 BUILDING PERMIT ProJect# IJS 2605 0667 = ,Est Cost —� $1200.00 ,Fee I$25.00 0onst. Class _ PERMISSION IS HEREBY GRANTED TO: !Use Group: Contractor: License: ,Lot Size(sq.ft.): B& B Builders General Contractor- STATE 067061 (Zoning Owner: WOLFBERG, STEVEN jUmts Gamed: _ ]Applicant: B & B R i!ders IU; o : LL AT: 56 PALMER STREET#3 IDIg Safe# ISSUED ON: 06-Jan-2005 AMENDED ON: EXPIRES ON: 06-Jul-2005 TO PERFORM THE FOLLOWING WORK: 596-05 KITCHEN CABINETS TJS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric r Gasy ,_ w_,,,._.,..,_,.,...-...- Plumbing- - -- Buildin Underground: Underground: Underground: Excavation: Service: Meter: Footings: Rough: Rough: Rough: Foundation: Final: Final: ,,..._.0.12-00��.�� Pinal: Rough Frumc:_ w. _-......... ._ tt/`sfE31'"' y..... .-�_.n....._,.._.. ......_ .._..e—...o_....e,. . .. .... t�•,: . ... Fireplace/Chininey: D.P.W. Fire Health Insulation: ,Meter: Oil: Final: House H Smoke: - " - Treasury: Water: Alarm: ' Sewer: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UP VIOLATION OF ANY F LTS RULES AND REGULATIONS. Signature: Fee Type: —.---- "Receipt Noi Date Paid: Check No: Amount: I BUILDING REC-2005 000837 Ih 06 Jan-OS 13751 $25.00 zLir GeoTMS©2005 Des Lauriers Municipal-S cautious,'Inc.