TURNER ST - BUILDING INSPECTION f ,
fll-lNSIdUST-GE f•1L{-B-�MND APPROVED BY T44E
id.tPFCILIB PRW TD.A.PF.Ad�IT AEING GRANTED
�
CITY OF/ 1�v
No.t� Date
y..
Is Property Located in Location of
the Historic District? Yes No_ Hnilding (&,h ell
Is Property Located In
dw Oarmarvaagn Area? Yes NO-_
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool,
Repair/Replace, Other:
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:Owners Name /r I-e f4 I .Ile,
Address & Phone �/3� Cad a _, ( y1 9 -SG D
7exf //
Architect's Name F/044 f"o /J 6"se
.Address & Phone �[-U r K t r 5 f S a f e WA j )
Mechanics Name
Address & Phone L
Whst is the purpose of budding? je .p o r-e- Co uc
Matsui of building? Ur' If a dweWng,for how rnany families?
WW budding conform to law? N e 5 Asbestos?
Estlmateed���cost city License a< N A state License M
�� \ 9Oraa Lproveasat r
Signature O Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRLIPTION OF WORK TO BE DONE
ue /
MAIL PERMIT TO: �`� 0( lr ,F
No. ?
APPLICATION FOR
PERMIT TO
POK
LOCATION -
5A,
PERMIT GRANTED
APPROV D
INSPECTOR OF BUILDINGS �
e q
i
C
IMPORTANT DOCUMENT
-
5 Certificate of Plante Resistance 5
5 S
5 REGISTRATION ISSUED BY
Date of Manufacture 5
S APPLICATION o CN R 06109M S
SNUMBER �� INDUSTRIES INC ® 5
EVANSVILLE, INDIANA 47725 Order Number 5
S E121.4 MANUFACTURERS OFTHE FINISHED 36SW4 S
5 TENT PRODUCTS DESCRIBED HEREIN 5
5 This is to certify that the materials described have been flame-retardant treated T
S (or are inherently noninflammable) and were supplied to: 5
S5 692625 5
RICE RENTAL CENTER 5
5 TAYLOR RENTAL CENTER#14978-4 5 5 115 CABOT STREET 5
S BEVERLY MA 019155108
5 5 .
5 S
55 Certification is hereby made that: 5
The articles described on this Certificate have been treated with a flame-retardant approved 5
5 chemical and that the application of said chemical was done in conformance with California 5 Fire Marshal Code, equal to exceeds N 5FPA 701, CPAI 84, ULC 109. 5
5 The method of the FR chemical application is: 5
SSerial # 8020560C(4) 5
certified:Description of item cert S
5 TENT WAi,61FY'X4W VL WH14/CA FI21 4 JOHN BOYLE STATESVILLE NC I
55 Flame Retardant Process Used Will Not Be Removed By 5
Washing And Is Effective For The Life Of The Fabric 5
JOHN BOYLE STATESVILI-E NC Signed: 5
S Name of Applicator of Flame Resistant Finish TENT DEPARTMENT-ANCHOR INDUSTRIES INC.
O c-00- s-PUMrJErJ PrJ P0Uj-3ffi fflFL3 rJ-rJrJ�cPrJ�rJ�rlcl�Pr�cPcPrJ�bPcPrJ�rJ@PcPrPrJrJ��PrJ� rJ�cPrP�P�JrJ�rJ��PrPcPcPcP�PrSrJ@Pr�cPcPrJ�r�rlr�cPcPrJ�rJ@PcP 0
IMPORTANT DOCUMENT °
5 Certificate of 5 Flan?e Resistavele
Is 5 REGISTRATION SUED BY Date of %anufuacture 5
APPLICATION o-
®
S *0 I"C�E' R 5
h � r EVANSVILLE, INDIANA 47725
Order Number
F121.4 [W �~ MANUFACTURERS OF THE FINISHED 382925
5 TENT PRODUCTS DESCRIBED HEREIN
S This is to certify that the materials described have been flame-retardant treated 5
(or are inherently noninflammable) and were supplied to: 5
5 692825
�j RICE RENTAL CENTER 5
5r TAYLOR RENTAL CENTER#14978-4• 115 CABOT STREET 0
0 BEVERLY MA 019155108 0
5 5
5 5
5 5
5 5
5 Certification is hereby made that: 5
5 The articles described on this Certificate have been treated with a flame-retardant approved 5
5 chemical and that the application of said chemical was done in conformance with California 5
5 Fire Marshal Code. All fabric has been tested and passes NFPA 701-99, CPAI 84, ULC 109. 5
r5 The method of the FR chemical application is: 5
5 Serial # 5
5 80205W(2) 5
0 Description of item certified: 5
5 TEM WALL 6-IRX40 WHT E VSNYL 5
5 Flame Retardant Process Used Will Not Be Removed By 5
�5+ Washing And Is Effective For The Life Of The Fabric 5
5S5 nnvj c cT rccvrt z F tir Signed: 5
TENT DEPARTMENT-ANCHOR INDUSTRIES INC. 5
O cPr PcPc1rJ��PrJ�cJcPcPrJ�rJ��PcPcPrJ�rJ�rPcPcPcPr PrJ�cPrJ�cPcPcPcPrJ@PcP�PrJ�cPrJ�rJ�cPrJ�cPcPrJ� rJ�cPr P�P�PcPr�U�tPcPcPtPrJ@PrJ�r Pr PcPr�rJ�cP�PrjPrPcPrPrPcPcP O
(�Prit ratc of Niamie Restatancie
REGISTERED � ISSUED BY
Dale of Manufacture
APPLICATION = ANCHOR INDUSTRIES INC. 3/(16/9G - -
NUMBER EVANSVILLE, INDIANA 47711 ..
Order Number
�. MANUFACTURERS OF THE FINISHED
F12tA E TENT PRODUCTS DESCRIBED HEREIN 119226
This is to certify that the materials described have been flame-retardant treated
(or are inherently noninflammable) and were supplied to:
RICE RENTAL CENTER, INC. #7736
115 CABOT STREET
8r
BEVERLY NIA 01915
Certification is hereby made that:
The articles described on this Certificate have been treated with a flame-retardant PRO
approved chemical and that the application of said chemical was done in conformance
with California Fire Marshall Code, equal to or exceeds NFPA 701, CPAI 84, ULC 109a i
The method of the FR chemical application is:
Fs—en al tt:
8043800 (0001) _
Description of item certified.
FI PLS END 40W X 20 HO VL W W
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Of The Fabric
Signed:
Name of Applicator of Flame Resistant Finish — � ,E
y TENT ARTMNT—AN—ANCHOR INDUSTRIES INC. pJ/,
y
n
ram. .
O sss-023OR sto0012 i13H 1 M P O RTA N T DOCUMENT apf-I'P'�' °
5 5
Certif ieatc Of Plante Resistm-?ee 5
NO REGISTRATION t ISSUED BY 5
Date of Manufacture
APPLICATION o- CNRe �NUMBER ' F Order Number
5 EVANSVILLE, INDIANA 47725
MANUFACTURERS OFTHE FINISHED 369094 5
CS I I21 4 TENT PRODUCTS DESCRIBED HEREIN 5
5This
is to certify that the materials described have been flame-retardant treated 5
5 (or are inherently noninflammable) and were supplied to: 5
5 692825 5
RICE RENTAL CENTER
5 TAYLOR RENTAL CENTER#14978-4 5
5 115 CABOT STREET 5
5 BEVERLY MA 019155108 5
5 5
5 5 S Certification is hereby made that: ved 5
5 The articles described on this Certificate have been treated with a flame-retardant appro 5
5 chemical and that the application of said chemical was done in conformance with California 5
Fire Marshal Code, equal to exceeds NFPA 701, CPAI 84, ULC 109. S
55 The method of the FR chemical application is: 5
5 Serial # 60433WO) 5
55 5
Description of item certWFA,Atln 4OW x 2-0 vi_w w 5
5
5 Flame Retardant Process Used Will Not Be Removed By 5
5 Washing And Is Effective For The Life Of The Fabric 5
K*1N BOYLE STATESVIL E WC Si ned:
5 Name of Applicator of Flame Resistant Finish TENT DEPARTMENT-ANCHOR INDUSTRIES INC. 5
a r1cPcPrJ�cJ�cPrJ�rPcJ�rJ�r?l0ririjEjj 0TrJ0 a0LiLiIMcPcP0PPLLffl3 .PLPcPcfr?PrJMfMnW3rJ�rJ�cPcPrJ —cJ—cPcJ—cJ�r?nrJ�r�rPrJ@PcJ�cPcJ��rJ�rJ�cPcPrJ�rJ�rJ�cPcPcPrJ�cPcfrP o
C�Ertt icate of "R1ame Resistance
ISSUED BY
REGISTERED : ANCHOR INDUSTRIES INC. Date of Manufacture
APPLICATION �,,QQ1�����DD 3/ffift
NUMBER EVANSVILLE,INDIANA 47711
OrOer Number
�. MANUFACTURERS OF THE FINISHED
=F1214 E TENT PRODUCTS DESCRIBED HEREIN
This is to certify that the materials described have been flame-retardant treated
(or are inherently noninflammable) and were supplied to:
RICE-RENTAL CENTER INC. U7736
115 CABOT STREET
BEVERLY MA 01915
Certification is hereby made that:
Yar The articles described on this Certificate have been treated .with a flame-retardant
approved chemical and that the application of said chemical was done in conformance
with California Fire Marshall Code, equal to or exceeds NFPA 701, CPAI 84, ULC 109
Yui The method of the FR chemical application is:
J� Serial n:
iu 8043900 (0001) Va
Description of item certified
FI PUS END 40W X 20 LO VL W W
Flame Retardant Process Used Will Not Be-Removed By
till',
Washing And Is Effective For The Life Of The Fabric
j
.NISignedI XOu��,�,t,�qNameof Appicatorof Flame Resistant Finish � TENT ARTMENT—ANC
iu
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