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4 WAITE STREET - BUILDING INSPECTION P rsupb© OversizeFTab Folders 90%Larger Label Area S RSI E A CI KEEPING YOU ORGANIZED No. 10301 PATENT PENDING SUSTAINABLE MIN.RECYCLED y NITUTIVf CONTENT 70% C.M.drlb.temnnp POST-CONSUMER ufiproorpm.ory wlxa MADE IN USA GET ORGANIZED AT SMEAD.COM STREET PERMIT . Citp of *alem Office of inspector of I6uilbingg Gilt'-hvf, 1 C-j-- zo permission is n'ere6y giiae�n ala !o occupy for 'Y/+U\1`h purposesintron!of eslale lam( ./r�f 7pJd of sidema/� of street. `,7sis permit is Giniledlo„ _ N 41, J"17 zo . su6',&to I e provisions aflite of dnances andslatutes in relalion to cSlreels andllie,9nspeclion and Construction of Tui/dinys in,( e Gilt'of cSa/em. Di`erlorol.�L6lic cSalnicer _�`^ /�� 9nrpeckr ol,�aildiny's� - 0 ____________ _. 0 ° �Dl ° u e u Effective Date: May 11th, 2017 e o Western Surety Company LICENSE AND PERMIT BOND a KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 63197805 0 ° That we,LCT Construction and Service Inc n u of Hopedale , State of Massachusetts , as Principal, o and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of ° Massachusetts , as Surety, are held and firmly bound unto the City of Salem State of Massachusetts as Obligee,in the penal sum of One Thousand and 00/100 DOLLARS($1,000.00 ), lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives,firmly by these presents. , THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been licensed Dumpster by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply with the laws and ordinances, including all amendments thereto, pertaining to the license or permit applied for, then this obligation to be void, otherwise to remain in full force and effect until May 11th 2018 ,unless renewed by Continuation Certificate. This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class U.S.Mail, to the Obligee and to the Principal at the address last known to the Surety, and at the expiration of thi �tga ` *(a5),rPays from the mailing of said notice, this bond shall ipso facto terminate and the Surety shad)` u,,P& be4 glieved from any liability for any acts or omissions of the Principal subsequent to said d p'.1--, R-yQt�ggdhess%of Che number of years this bond shall continue in force, the number of claims made a,giStt �Efiis bor4i-,aowthe number of premiums which shall be payable or paid, the Surety's total limit of li b lr i y shall not be aulaulative from year to year or period to period, and in no event shall the Surety's total ° ]i s'Jr ky*�a11`flaf 1�s xceed the amount set forth above. Any revision of the bond amount shall not be u cusp�fti:ye. ° Datec 1tris4° � 11th day of May 2017 e LCT Construction and Service Inc Principal e R � y F 0WOAATf = Principal SEAL WESTE SURETY? COMPANY By Paul T.Br)Mat,Vice President 0 Form 532-12-2015 e e ACKNOWLEDGMENT OF SURETY STATE OF SOUTH DAKOTA (Corporate(Corporate Officer) COUNTY OF MINNEHAHA f On this 11th day of May 2017 ,before me,the undersigned officer, personally appeared Paul T. Bruflat ,who acknowledged himself to be the aforesaid officer of 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. �444b444444bbb44b444bbb44� //,^. 'll r1I� M. BENT "(SEAL NOTARY PUBLIC EAS a SOUTH DAKOTA s Notary Public—South Dakota �4444bbbbbbb444444b44444� My Commission Expires March 2,l 2020 ACKNOWLEDGMENT OF PRINCIPAL STATE OF i ss (Individual or Partners) COUNTY OF /1 On this day of ,before me personally appeared known to me to be the individual_ described in and who executed the foregoing instrument and acknowledged to me that—he— executed the same. My commission expires Notary Public ACKNOWLEDGMENT OF PRINCIPAL STATE OF (Corporate Officer) COUNTY OF ss On this day of ,before me personally appeared who acknowledged himself/herself to be the of ,a corporation,and that he/she 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 himseWherself as such officer. My commission expires Notary Public S= CSS � F 0 a w z A Ca a PIN c E p 6 w Q mM o v PO E d 0 d w z o U7 (moi Q b Western Surety Company POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota, and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United States of America,does hereby make,constitute and appoint Paul T Bruflat of Sioux Falls State of _ SQiath Dakota , its regularly elected V' p 'den as Attorney-in-Fact, with full power and authority hereby conferred upon him to sign, execute,acknowledge and deliver for and on its behalf as Surety and as its act and deed,the following bond: One Dumoster City of Sale bond with bond number 63197805 for LCT Construction and Service Inc as Principal in the penalty amount not to exceed: $ 1 000 0o Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety Company duly adopted and now in force,to-wit: Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate name of the Company by the President, Secretary, any Assistant Secretary, Treasurer,or any Vice President, or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys-in-Fact or agents who shall have authority to issue bonds, policies,or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its 2017 Vi ge Pres d r with the corporate seal affixed this 11th day of_ May , ATTEST WESTE N URET COMPANY L.Nelson,Assistant Secretary Paul T ruflat,Vice President �4a\\tra�iCST!ier�rr�r� STATE OF SOUTH DAKOTA ' u 2 g= COUNTY OF MINNEHAHA it r��r�0 On this 11th day o( — May 2017 t ,before me,a Notary Public,personally appeared T Bruflat and L. Nelson Paul who,being by me duly sworn, acknowledged that they signed the above Power of Attorney as Vice President and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the voluntary act and deed of said Corporation. +445444444444444444444444+ r J. MOHR e r r i 5 AE NOTARY PUBLIC l� pSOUTH DAKOTA aEAL s +44444444444444444444444+ MY Commission Expires June 2� Notary Public To validate bond authenticity,go to www rnasur ty com >Owner/Obligee Services>Validate Bond Coverage. Form F1975-1-2016