BAKERS ISLAND - BUILDING INSPECTION (4) -Kj"1M "WflAD#AM/ APPROVED BY T44E
JbISPIKGM PBIOA TOA.PLRNIT BEING GRANTED
CITY OF SALEM
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BIWAING PERWT APPLICATION FOR:
Permit to:
(Clyde Mhio ~apW) Rook Awack k0al SWft Co mbW Dock. Shsd. Pool,
RapaklRaplsoe. Otlwr: ,t1 ew G-�.-a c,2`
KEAIK RLL Wr L✓ GOLY i COURZFELY TO AVOW DELAYS IN PROCESSM
TO THE INSPECTOR OF&ALDINOS;
The Ld hereby appin for a penrA to bum aoowdN to Ito louowinp
QVWA Name e'" F7 ✓ y
�l'et Nobt,� f-f,U R�
a�
Afton& Phone v-y 1 �+ MA 2 32 S SI 7
Am k eds Naare
Address l Phone j
Medrorwos Nanw
Address E Phone j
Mawr is on papas d- . ,.,q7 5 fz�"t �V o c Jcv- fo 01 S. 01 a W-V' , w 0✓k
mom d twranot w 0-6 r a fAl ft for nor.mY gmlaai_N/
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Sipr of AMicaru
EIONED UNDER THE PENALTY
DESCRIPTION OF M// M To BE DONE Of PEKWRY
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MNL PERMIT T0:_5� C1 f 9 1 S
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CITY OF S^LKMO MASSACHUStTTS
PUBLIC "apaRTy 09FARTMENT
120 WASMINOTON STRZKT 240 BOOR
e SALSM. MASSACNUS" 0I070
TAMErNON[: 97W74S."" "T. 386
_... . ._ .. _ RARs 070.7465040
HOMOWM UMS1 EXE WMON
Pleeae Print.
Dab b — f3
Job Laca = Lam + Io f3ake� `s Isfau�
Home Q�»rr Addtal. S�tee.
Tn4 Owl n4I 7 d Z 3 c 1517
Px�eotMs�Adideaaal• l5 Noblo_ H,`I ►2 `w�:(y py�
Tie aurmt ao<®pttos o['Ncmaownee avaoded b btchlde
cgs of twee LTitila a loom end to aT1oa+sub
hin who don not poaaeaa tu
a lieema/povided thattm�as indlvidual for
....:. as supeevieor.
DBMIIVI'PIOIN OB WNBH
Pwwo(a)wbo own a J
wTdch dress aria pasael.of hmd as Mhick hdahe miidae err intender tp ckM
T4 it"Aded to bt a erne a two art d*4 OdoecAad .
muroa accessory to Such oee etld/or} = �� °�°g
sOru
dun avoo home in a taro yeas pedod"not " man
" d'shal!submit to the Building OBlciai/an a hm
P� that hdsho be responable fa all such worst Pa fcaed under the Building ldmg
T IN und" e d pw=���m�a�h'��Pli mme with the State Other applicable by-Im and mphdom
Building D p� " = mwun aa the City of Salem
will comply with said puce&m and tequirma ft eta and that hNsM
HOMEOWNERS SIGNATURE
APPROVAL OF WELDING INSPECTOR
See other side for state code
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which a Buildit��io
ibt ••�j,�Tmneo�arr pis sqctwomd ` .tag.t.l—Licaosi�f
cam Iwo lu
b. �0X F°vid°r°'" °ido at�o�meo
as supaviw.
Of&owudtmsw
&HOMODWW"ad
do ob wak as uns�►an sk
that they as wombs*A
who on this a �clioe
twos►FI°o�ea"�; ,as(�.Avp�� of PAW °��si1'ia.adoss
tewugm dss ssa+ s�t�• In this ws Y°�
c s„pw,�,oe. Hoave bl!" tvjo
tb g4sos r jwONRomw
bo
wft
s'�p°"d'oy is asuy MMY
oihi�lhswmca ,that
Tom Honwcwwo!the Permit oidwyet psi°ems u s
hd 1Cos m+q►cs�s Lo s and s
CITY OR SALUM9 MASSACMYltTT!
rusua PROPUMTV OMPA MZW
t t0 w"No""m one"* s.e PLWS
S"SW MA"MMUSMS else
TeLeV"fta 070.748-Nes sip. �e0
/ea 970-74 0""
Is accordance with the p MVWI as of M(,iL,C40 3 S4r a condition of yow
Bei fins Hermit is that the dd wbre"t !!gym this work shall be disposed
of is a peopedy Hcum d SONS WNW diiposai t WMV as defined by MM
Chapter I%S ISO A.
Ills debris will be disposed Of isa
tN le mcA4� 4 Pto.-6� (I.Ocadou of Fa duty)
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Sisaatare otA
6 -- f3- 06
Date