Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
0072 FLINT STREET- BPA-05-509
� 5 'PL711161Ml16t11EfR4B4019 APPROVED BY T*E =PJ:C=PRIOR TO A PERMIT BFJNR GRANTED CITY OF SALEM No. Oft Ward ZoNrtq DbMct Is fvm LOOM to Location of BN 6 kim Dhtdat? Yas No ' s luina �� Is Ropaty Located In dra Cartaatralon Ana? Tara No N Permit to: BUILDING PERMIT APPLICATION FOR: (Circle whichever apply) Rip i R stail Sidh% Construct Dads, Shed, Pool, PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSM TO THE INSPECTOR OF BUILDINGS: ' The undersigned hereby applies for a permit to build accordwig.to the fdbwhtg specifications: Owner's Name \n� Address A Phone Q o . Architect's Name Address d Phone (1 ( ) Mechanics Name O J Address d Phone o a S S� (�Fr\1 � 01 In k ems'L Wait Is ew ptapoaa of ttuld w \ J A S 5 \ \ c e�\V.-A-71 Q <Al_ 1 Mal"at betiding? —Nall" 019,ror how m"Mman? wm 6t u ft caMonn to Iaw? > AattaMoa? VU Estrrett«t Lost 1 d o a cay uen.e• stn. s=RT C S oasaw r,tpro.�tre oUNDE PEPENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE MAUL PERMIT TO: No: APPLICATION FOR PERlW TO A) / L v LOCATION -7/� C1,ti k PERMIT GRANTED �© 1'1 19 APP 1/FD INSPECTOR OF BUILDINGS Rip600 w.A&.0 a Aga Consumer Worken' Compen adn laauraaaa Af tdnik 4 . . w10A priodpal plea of buAias ass do hereby'cerdly under t1m pales sad pan A of perl.ei deist () I see an employer previdleg workers' compeaotbe covepte for aY dwlilel a a working sa tkb f at<. laa r n= Cea+p ow P eesabef r l f I am a sold proprietor and haw no ono workklg stir ate In MW opodW- `(D 1 so a sek proprietor, general coatr agw w homeowner (drde am) and haw kind do torawetots Mead below who-have the feipovft workers' co I %waive polialm Contractor Ietarsatie Compssry/► Comaaer Insunm« Compnry/►e N Contractor Inwance Company/poky NLvnbw O I am a homeowner performing all the work arpW. •I w.nuW mt a uq d Oi inters we be Jwwanea ■ es Olin A iwatiesw of Ow a1A 4 eereraee roillaaeae ON out Men•NNW" eomarr r nowt.~Sactiae SSA d WA 15 t tat wee r wow b pusim of phyaw aeods taneedoe d astir of ea M IJCCI(fs eu►w ese ream' wwn"ww" . aeueie w d a STOP WORK ORDER use fr off 1n0.00 a an aeaittt tow. Signed chb • 47 day of V v lZ O _ n :iccnseei Fermiuse buft7in Department ii Evartsaess Office =cslth Deparmert -- - - _ - - ccCC. "e � : 904 405 ape• 77r + B REGULA TIONOARD OF BUILDING CONSTRUCTION SUPERVISOR; Lice�a: 1 _ :4 V Number. CS, 079800" '09@5/1957 x. BiAhdate Tr no Pon09012005 y: 7t1800 �I ; i{eypieted �.� , JOHI RR �y 22,BROOKSTE. U1907 Admm�st�afort' x SWAMPSCOTT. ruaLm rworm ff DSFAWrMt0R I20 VAU MI"Mm s"m >f110 FLoow mLot.tuot�io tc.(EM 74 MM t01T.300 FM (NM 7404W" MAYM DISPOM OF D1181t>a AFFMVf3 Ie mcotdesm VIA ft pio i&w GfUM s 4%SK I stnowb*d>d m e amMm aoDooft ft@*/ .a M&nealtisS Sam ft eoae- i—'oa mdit an and by tbfe Bath Pan&&Abe Opo W offs a ptC"*Ti ="Now wrote oft odhcft,m&OWbPMMa1%SLU L ..kl� oe-� Loc�doa ofFmillQr . e(Ptmft App&W Dr MUMUPRMCLEAMY) 1�eme ofPamit eppffeeaR . P1m ldmr ff=W . ,a a�rtrac�paa bye Sam(6e daMoLoaa nmovatiaa iahob ar adts . dkpomd in a ptopatly-fi xmW eo"*I to h ft a dossed by ltdM cA SIX&and Ifte bu&ft psattitf or Beaoeee als b fadiaer me ba"of&"ift.