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32 FRONT ST - BUILDING INSPECTION (2) iS-MOST13E f4UE0- dD A?fROVED BY T44E ,MPECT -R ,PRWR TD.A .PERMIT BflNG GRANTED CITY OF SALEM No. (� I (OS"ZC�c7t �:`� ` � Date Is Property Located in r r\C1a� Location of �� �p the Historic District? Yes_�No_ Building t'c W� Is Property Located in the Conservation Area? Yes_NoILI� BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed,-Pool, Repair/Replace, Other: ih 77F�-4 f,�_ lb PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's NameYyvl Address & Phone Architect's Name Address & Phone ( 1 X Mechanics Name Address & Phone //1 What is the purpose of building? Material of building? f77bC-If a dwelling, for how many•families? Will building conform to law? Asbestos? EsUmated cost City License # N P' State Ucen4#N ©O Home Improvement F� Lic. 1 - 1to 52 Signature of Applicant SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE s tir �oL I f SY sV3 MAIL PERMIT TO: �A1.L '� tevoovjnL, zooL� No. (40S -Zo o,-p APPLICATION FOR PERMIT TO LOCATION PERMIT GRANTED 2.oZ) APPROVED INSPECTOR OF BUILDINGS -- 3 <._. . Y OF SALEM. Mr SSACHLSETT5 PUBLI4-PROPERTY DEPARTMENT ° ® 120 WASHINGTON STREET, 3RO FLOOR 2 < < 70 SALEM,MA 01970 a, TEL. (978)745-9595 EXT. 380 �Grmu FAX (978) 740-9846 STANLEY J. USOVICZ, JR. - MAYOR DISPOSAL OF DEBRIS AFFIDAVIT S34 I acknowledge that as a condition In accordance with the provisions of MGL c 40, 8 of Building Permit# all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid-waste disposal facility,as defined by MGL c III, S150A. �7 The debris will be 'sposed fat: Location Location of Facility ' Signature of Permit Ap licant Date FULLY complete the following information: (PLEASE PRINT CLEARLY) I�amee f Permit App scant �K Az'pe_ Firm Name,if any m 5'q K L4 'd- Address, City & State The above statute requires that debris from the demolition,renovation,rehab or other alteration of building or structure be disposed in a properly-licensed solid-waste disposal facility as defined by MGL c1H, S 150A and the building permits or licenses are to indicate the location of the facility.