234 DERBY STREET - BUILDING JACKETI��� � � �
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DUIFU T2 STREET PERMIT N0- 16
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City Hall, 19
Permission is hereby given to
to occupy for purposes
in front of estate '� Wd.
of sidewalk, of street.
`Chis permit is limited to 19 subject to the provisions
of the ordinances and statutes in elaton to Streets and the Inspection and Construction of
Buildings in the City of Salem.
(Alk^l � 1
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Director of Public Services Inspector of Buildings
Signature of Applicant
Pczs xc A-29-65
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Western Surety Company
LICENSE AND PERMIT BOND
KNOW ALL MEN BY THESE PRESENTS: BOND No. 68246564
That we, I. A. B. Sandblast & Surface Refinishing
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of the of Essex State of Massachusetts as Principal, ;
and the WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State ;
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of Massachusetts , as Surety, are.held and firmly bound unto the
City of Salem State of Massachusetts , Obligee, in the penal
sumof One Thousand and No/100ths ($1,000.00 )DOLLARS,
lawful money of the United States, to be paid to the said Obligee, for which payment well and truly
to be made, we bind ourselves and our legal representatives, jointly and severally by these presents.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the said Principal
has been licensed Sidewalk Permit
by the said Obligee.
�t'NO *,ORE, if the said Principal shall faithfully perform the duties and in all things
coinly w�1tl�yk�e and ordinances, including all Amendments thereto, appertaining to the license or
)??"i=AD
1 mir l,,applied f�r"Ilhen this obligation to be void, otherwise to remain in full force and effect until
�r r�.7w il 11th 19 89, unless renewed by Continuation Certificate.
'i'l -,bi!� ge
nd,niay,: rminated at any time by the Surety upon sending notice in writing, by certified mail, to
A 6e j!rk of the P6466al Subdivision with whom this bond is filed and to the Principal, addressed to them at the
Po11ti o�l Sub Sn'named herein, and at the expiration of thirty-five(35)days from the mailing of said notice,
this bodrfdcShallffiso facto terminate and the Surety shall thereupon be relieved from any liability for any acts or
omissions of the Principal subsequent to said date.
Dated this 11th day of April 19 88
Principal
Principal
Countersigned
p � W E S T E N S C M P A N Y
By J�KI��'1 +0 J. —"Y�Yti� By
Resident Age& Joe . Kirby, President
ACKNOWLEDGMENT OF SU
(Corporate Officer) ;
STATE OF SOUTH DAKOTA
County of Minnehaha }ss
On this 11th day of April 19 88 , before me,
the undersigned officer, personally appeared Joe P. Kirby ,
who acknowledged himself to be the aforesaid officer of the WESTERN SURETY COMPANY, a corporation,
and that he as such officer,being authorized so to do, executed the foregoing instrument for the purposes therein
contained, by signing the name of the corporation by himself as such officer.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
rD. KRELL p
NOTARY PUBLIC
S
° lID�L SOUTUTH DAKOTA S�L •S
My Commission Expires 11-30-92 Notary Public — South Dakota
Form 532—11-85
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ACKNOWLEDGMENT OF PRINCIPAL
(Individual or Partners) ;
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STATE OF l
}ss
County of ))) a
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On this day of 19_,before me personally appeared
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known to me to be the individual_ described in and who executed the foregoing instrument and
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acknowledged to me that—he_executed the same.
My commission expires
119—
Notary
19Notary Public
ACKNOWLEDGMENT OF PRINCIPAL
(Corporate Officer)
STATE OF /per
ss / �e�
County of
On this day of 19 ,before me,
personally appeared who acknowledged himself to be the
Of , a corporation,
and that he as such officer being authorized so to do, executed the foregoing instrument for the purposes therein
contained by signing the name of the corporation by himself as such officer.
My commission expires
19 '
Notary Public
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