4 HILTON ST - BUILDING INSPECTION (2) flstlllSlMli16T�EfKAW MID APPROVED eY TM
JWPECIL1Fl PWR TD A PERMIT I SING GRANTkD
\ CITY OF_SALEM p� /
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Is P10MIty Loaatad In Location of
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Permit to:
BUILDING PERMIT APPLICATION FOR:
(Circle whichever apply) Roof, Remd, Install Siding, Construct Deck, Shsd,�Pod,
Repair/Replace, Other.
PLEASE FILL OUT LEGIBLY A COMPLETELY TO AVOID DELAYS IN PROCESSMfKi
TO THE INSPECTOR OF BUILDINGS: '•
The undersigned hereby applies for a permit to build aocordGig.to the folkwrirtg
speomostiorm:
Owner's Name L6�1
Address 3 Phone / ,/Z% (9)1 We)- 3 7 3a
Architect's Name �rec."s:o.,
Address a Phone aS- &-kr-f-
Mechanics Name �. .. :
Address & Phone f' 47t Yl-� - -7 7
What is to pxpoaa rtkAn 9a s
moo"of ht mbIll? U� S .dwalWq,tar now iti/ty lamaas?
Wo bulift Cal"" to law? kxex A�ONba?
I=.tani.ud toat _ CRY Utw 0 Lic » 8�/�D�0 c�L
Impta aarnt
L.ic. Y �3Lo 5 y� •. ..cs.
re of Appl'
UNDER PENALTY-
PERJURY
DESCRIPTION OF WORK TO BE DONE
MAIL PERMIT TO,
1
APPLICATION FOR
P l TO
LOCATION
PERMIT GRANTED
19
V�D
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INSPECT OF BUILDINGS
' l.vmmoruffc>a[� Of�rWaChWs�d .
1J.P..Lw.af s�.�a�/i.trfal AeeiLal.
boo Ula LOMSued
�araat l unwed S d, V..A.A 021//
e.nralee.
Workers' Compens3dw Isssarann AffMMk
. . wltb.a prbudpal place of badness ear
do hereby'cer* under the pains and pewh$es of pe bW, iliac
I ace an employer providing workers' compenaiden covefte for RW aaplerees weekbsg a
1ilp
Insurance Coanpany i Nuaaber
I an a sek proprksor and have no one working fir nee In MW csodq.
Q 1 am a sole proprietor, general comet wr or homeowner (drde ear) and haw bbed do
contractors lined below who-have the folknwing workers' coa iMMIMSioa P06den
Contmeaor Insurance Cormpany/pollgr Numiel
Conaatter Insurance CDMParry/po Number
Contraaer Insurance Co"Wany/policy Number
() I am a homeowner performing all the work myself.
•I rnprAaM aw a ear Of ei AIM MM ere ae krwwo" n ow Oft*11 k.aeanpa d dM DNA for Cor*►aa*wrnud.n awe am hh"•aaa.n
c~ap al r#&wed*w**r Sacdon SSA W MGL t S2 can kn M aw w.a.r.:**f O*riwM @swan cwwad" d a au of n 04 JJMAe muter am
Mn,inorscasM a, acid*urea w the jom of a STOP WORK ORDER wa s fwr.f $t Ac s .w asab><0L
Signed th res day of
:iccnseciFcrmitcee euclaScng Gepartn.* t
jcvnsinf Ecare
Sekamens Office
nealch Depammer,c
gO4 405 ape Tyr
iblaill:lwwpy 09610 IN '11JOdAHQ8NGN
rO kS ONVl000M LZ
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,A 00 :Pfi3!�isea
m
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1
fie leom cart VIM"i t�1�ac�iuQe
Board of Building Regulations and Standards
One Ashburton Place - Room 1301
Boston, Massachusetts 02108
Home Improvement Contractor Registration
Registration: 136940
Type: DBA
Epiration: 9/162006
PRECISION POOL CONSTRUCTION
SEAN CANNIN -
25 BAKER RD
SALISBURY, MA 01952 -
Update Address and return card.Mark reason for change.
SCA1 A 50M-W04-G101216 ❑ Address Renewal Employment Lost Card
r'i4e{iorwnw9uae¢lG�o�./f�aeaoellruaeltaa
Board of Building Regulations and Standards License or registration valid for individul use only
HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Reglstrutlon•. 136940 Board of Building Regulations and Standards
One Ashburton Place Rm 1301
..Expiration:',0/16/2006 t
Boston,Ma.02108 ..
Typo:-'DBA
PRECISION POOL CONSTRU_CTI'
. WAN CANNIN
25 BAKER RD
"SALISBURY,MA 01952 Ada,intatrator Not valid without shmature 1'
FILE 04071033
30'-12"
10'-41 1
8'-64"
3'-2"
20'-5"
20'-10"
18'-104„
19'-3"
15'-8"
21'-10"
18'-2"
8' 8'
3'
12'-2„ 8'
OIMPERIAL POOLS 0
O:\DWG 2004\04071033.DWG,09/07/04 10:58:02 AN
NUV-3-2004 13:28 FRDM:FASTERN LAND SUI7JEY 1-979-531-5920 TC:19787417035 P.2
IBM gumn am(9 a4o0 gmao
MORTGAGE INSPECTION Professional land Surveyors& Civil Engineers
PLOT PI.Abf OF IADID ESSEX SURVEY SERVICE 1958 - 1986
LOCATED OSBORN PALMER 1911 - 1970
f,-G t f,_ MASS. BRADFORD 8 WEED 1885 • 1972
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