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END OF RICE STREET - BUILDING INSPECTION No. A�,G City of Salem w.ro (el _ '► APPUCATION PERMIT TO BUILD ADDITION, ATIONS OR NEW CONSTRUCTIO Mn•AppYgnt M aM X Ulp h IaCMD/M 4 It w, N,and 1>L L A7aoatfora � of t — r LOCATION ADO BULDINd LQT 1lYa�,�L�f Lfn �K 1ma L TYPE AND COST OF W*ANW•Af a conipNN Park A-Q AL TrPE Olt wa+aWluBlr O. PrApgsm m,!FOIL vox Lmrow u9E mosT nECENr tw . x p AaeIIIdwW Is-a. Ar,"Aa newar,nr Musquw aeellafenrtnglfQ to - ,efyndl�p�,atra6gT- 1+0 a,¢p.oI-ie_-fr...eM•rnraram�.rfifairr- - t20 Q ppMYr6.rrr�wr1dw1sfd1IL r❑ 0 0Aatrpna. 78EOM napw4- ++❑ "« 6 ❑ w@CMIO# aand Q Q6 Gr 00f arwa+r 7 Q Fan6a01nad D UQ ;d!"amr' 'td•faya 4%ea+.fra r;f4e l+r�rk Gr?.-:OO+. +rrVe I6N 17 O6M •SMa7 a LOWNWOW -farR wwou 6 Q ♦fa1mlA�.oda«eaffa adgar, 20 �•Somw .rrlmn rfu 9)Kgdia 6aarr.6ma.«+aO 9arrtn S' _ C4 cm (owes" wdwasref=oaadrenarr Pmeaeeeua0a10lydne6 a4 b??Ofaf>•9 efra nediMr,o4 rv7QYWYi4r�aaer<ifna«erYadieelrmi,rinpschm ae� +QCarar.nroYrtrr 53f�oo Bred+..e,m►oi6enar�e�astn..rsaNraaaea.m.awe hd*q �. • a�0� : r.,derrprara�endror+erg*Dom roa4.wj ar nere6rumr 1 EW ION R)mP Z>TnTl�l�1 a 06,rlar.eao<aeu ++. GF - 53 Opp IL SELECTED OF BULDNG •For now buildings and addllfa►a, eompfft fame E-4 d F IVI l 6 only Part J A Ad.ar odws skAp AD N - E. PM CPAL TYFE OF FRA6sl F. PNWCP 1L rM OF HW Is RML IO. TT}s OF s *vM DSIFom L TYFi OF MECHAN AL 70,V A1. "t Weara0 36 am 40� ►,a6af O arr rrrt NA"Com . w.rrra.aa 31 Q wdfeerr 36� as Il Q vfAerwler f6na M4 caaa6rMO 320 mumm me 37 Q E7aarear - .. Q,b 46 Ne 33 Q nw*xoeowca 3813 Car IL TYFEOFVAT,mug Lr wa6,we7wafreasF 34 0 anr.-sww 36 0 osw•yj i •x we«wairemarrat r a'�. a J1 No tl Qvftwei artem m s a o r3ti EMOLITION OF STRUCTURES: +eC4mmmion been momwed 49. Taw IMAM MMe,9mrawk . ema ere m Me.AAer Cop T4!•>nY owe,fift(50)vmv Yes_ No_ :un..on I ,ram-�S`>: � aK V Sds limber 5a TMrrAam MI K M,11�OF OFF4TN T r1MUNG stiM s, Ewes Fglpyy UTLMES 0No .` LI Dk'iC{�iTATION FOR THE ABOVE MUST BE ATTACHED° _._.or�aoq P@iMT CAN BE tS U _. 3 Iz - 77 Niebrk Yas_ No. ylE Yr4 0 F .. tray Hh!ranl i �• , p'�Y' m�Ki��AMY.J` Maw��wrl VMAiOA�aAww• » ski=i=..` _ ._ H86 FaMP�evenbon * and sbtrtMded Pins br Na�C IsPmp"at' .bgMd`bt11R.SRAdMtrkd? Yea _ No (n ft enrioes Baud d Appeal dedebnl Coinpiy wit'►�• wbmlt Board of APPW'decWm) Is k Zar+-_m �`t No_ (B Yea wbn�l !lal ,. N neaT�ea o E1f irM PEdP I SAP been loeed4 �` No_ Is Ard+itecWiat Aooess Baird""fe4kadT Yee— No:_ (V Yes,abiNt doaun�tlon) r: I�ednmeue Stag,Cantracbr Uceme s Sslein Lieen"s s r Hbmeawilers Ex`*form(d appk") Y ea_ NQ_ '_ ,+. r-u5� 3J"�+s*Wy p?X. 3C�'g'�' r°"r'4',."`t•". ssps�" `r;,^4t 3!_F4✓�', .>° CONBTRUFTI©N TO B!�Ot IRMOWTHS OF 1S&WCE OF BULOW(i PERMIT:°, SDt t an esletMisn is,neoeeeorT,pMue vibe* CONSTRUCTION 15TO BE COWLETER BY In to tis MMPeclor al�lidriga V. IpOHMAT10N• To be completed by aN ePOft" apcoo Tiwa trsFBoTc%Ala t AaIY Ca r9eis 1 (LP tsnwss�� GPM/ ICI bMll aW,orQed bY YM M MT Ia OMb MIIE appYa�a, I hereby 09Itiy sMt ON PIOOOMd U01k�conform by SO WOOM a sd M,is umft&. �hia eulhohiea 8oen1 Signawnr d Ad* �• vAq �rax z)eparmewaf3ndusrr�aia Offlo ifawesdimmials d®d waif vm 3ostoj4 MA 02111 wwwasmAZOVIAi workm, Comipemmaatfoa Immsarammcs Afid&N* Bn$deaslC=trzciorztE'3e Pln=been AvoHeamt 3 ormntdoa ?lease. Lgjft Nmne Waterline Industr es Corp. Addnm-145 Batchelder Road City/S Seabrook. NH 03974 - am* 603-474-7477 Ara you m cum"erT C%"k thtaw8ratprh m basis 'T`91m of W*eet$raeniroxi� 1. ]c 1�'=V*a wiih -60 Full'Time 4 [j 1 oar a 3eaaal multseeor and I 9 New empioyat(M and/or PWS- 04* ban mined toe nbtiaemrr7as 2.0 1 am a soo:1>�or patsia- timed m t o munched meat+ ;. �] R�oddipg` - A*and have no caapboyees There aob-wnuacm Im 3. C] Demolition woddis lilr mp a mql cayacity. wadoci'qoulp.i smaeon 9. M R addition (No worhas'�9• 5. ]] Weals . aid let' ofdoat ,��.ea tbei< IO.�J F30c>noi repara os addiaoeu 3.❑ 1�homeawna.doing all awak p I I.C}1kmb*=**am addisicas mysdC(No worteatf' can* t 15Z f lig=4 Q hm;zo 12.,t Roof repairs 13 Other *Any appticaottodaabboaat mmoho®aptdomaim below ttricnal amquuWaVwkT aa mom: T Naoawaa Oft mb mteiY affidavit adfdas dwY we�r d avtmd 4�loraohib aovleseamos=barn a aw awavit i d wa ecru tcammmm m awkAds boa mm arch"as addNmd abaa aiodq as arum e(awsov mrtmran s*mdomw amp pcWr m*wnmaim l as all twylofrA&is provljrrg wwanr'ea Wmmdm 6tawmee f r my=967as Mew tr d w padoy and jai area bsfirs d*a hmn-mm CampWNm=Wausau Signature AQenev poycyi<orScff-in Lit WCCY91435364124 SSpietsonDaw9/30/06 Job Site Addlew Aawk a copy of this warkeW tompeeaaloa padq dads adm gaga(showing the poile9 lumber and esphVilan date). Faa=w scco=a covemip as,equhed order Section 25A of�Mt33•c. 152 cis toad b the imgatiCoa otcrimmd peeaaltim of a Ire up to$1,500.00 and/or one-year imprimanumm as well as civil penaides in the farm of a STOP WORK ORDER and a Ano of up to 3250.00 a day against toe violmr. Be advised dos cagy of this smoemew may be £mwarded m toe Offte of Invertiptiom of the MA for mmra ce covemge verificatios: 1 do herby coup radar&*a pulm and peasMa oaf p rjku7 2Aet the Ix.(mmmloe provided atom 4 aatr and varracG Signatare: Dane: Fbtne Offleid we ea)► Dv aa write Iw Air area,to k cmpldd by c*ar slaw,#jkial 1 Cky or Town Pasmwueem d issaing Authority(cirde sae): 1. Board of Heaith 2.Budding Department 3.t ltyflbwn Cerk 4.Zbbebicad Inspector 5. Plumbing Jusipector & Other Contact Pomona Phone d: etp/nog seta nnrmen ;"Z-s PORAn WL-M-LT 9#Vol aNSSVW-LL8-1 m 9Ob TXP OD6T-LZL-LT9# 10-L T T TZO VK`Q PPE PAPS uDlSwgst&OO9 raopdWAQIP WW() gWngaesM3° gMbaoWDoD IIU »go+0a a3 Pa aoogdajZ'raPPe r,mad2a aqL it to aed a sing boo op amid aopeadm mod m3 a=AM m nod�t ni*U PRaob fQ'! 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"od lqp Rm aoa VOomasoo aqt a41!aP3»star(tbit4'�tT d 0�► parplaa aPlsaaeoa sseaa.m aw spdmoaposaevgm e odo a Wad io NOM I le"a'a' An ao)" =03 op p m 01 " »ts4►suss oqe(9): tZ4`LSP nodsga'DNI jo smoNq Ori WgWl+vp pLmqaagtXor „aa6oPdma w aq of PAP sgmaOuCoid® oa Iop c aowd 30 arnaq Imp mr mwq TTmaaanp q w*M aedu m 00' xmomm OP auom boa 2MMM smog IWPA%P a)o aae►o aw 2D vaov appm 0"PDX o oa4 go* teamsd, ae)o ost+Ou Jo JanTaoas dma 4Av oq�so�tOtdan�aP0�0P e�� l�P Rt Pa��m»ee poOgaP �++t�► ) woos s o% of io tiGpoa Pen J°aP up wam _. ,mum so Tao Voq mP in tads aauor ats eP aocnd ...�a�p a `wAblim ae ims�a ia� mS ymQ3o °°M �aaq�aael dma PP<D*dw ZST mdp s",l PID aadoPd®� •�°id oltraAo[ suoll3nilsul..pu'8 uopiclu-103ui DO NOT WRITE BELOW THIS LINE VL VALDATION FOR oEMRTMEIRUSE O/L7 Buidiry Permit number use Go* sulft issued / 19— Fn ll<dti0 B tMLowchq Permit Fes t Oaauorr.Y lad Certitiede d o=wnc4 Drain Tie Plan Review fee s '✓ L mlF NOM AND Data•(I&dmw*n nr ueq.` . k P r gI I I 4 PERMIT TO BE MAILED TO: Oi DATE MAILED: Construction to be started bY. Comobted by i E y1 f W ZONING PLAN EXAMINERS NOTES DaTRICT USE r.. FRONT YARD SIDE YARD SCE YARD REAR YARD NOTES SITE OR PLOT PLAN•For AppirAW Use ON 1 I