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Bldg Permit App SignedI 4 aanavn w..-.�.�..•,a..,,_.Ra,-..c.*...-----..+..�a�.,a.RuY. aI,�.Y.+gy. a_a N,..+.r r{+. �• _.-vn. xa-=-___,u-..ry-....'..-•F1FM—,P.H-�---: ayr--r �.: v.. n,., �.,..�l+. nt _.._._.--.��ea w.nx�aa r�-.e,e, r..--n..r. - .ten--.n,..ii� SECTION 5. ._ T1,NVI. Super -visor I.� c c us(CS14) a +•4Y�ri4F�a� ! Yaaau y�ura.ue uye•- .vim �a._.aa�..a .. . _ &?7 Licen-s-c Num]Fer .-XP1, Ion D''O.1te _err, :__ .��.�-q�T+ti z�n .- --�•.. 'r- -• - �-r. -_ .-r•��L,Hir—ry_ _}.�T��rvr.r•rr,�ar,�,�r List L, Type., (Sec belowl r rr.•iVe_•t� �.�,..�.,-�,,, r w�ae .:-a.tv�-z�4ara.�.-. n•,�'r n�rn•-- rnrw: - � - ti•. .--•,�-r- Try.ear:tiiiuia++,vt-��r,1J+��+.e4 r-d+i—_�mmrr•F,r-r_�-�-d�tirr s yS p i TTTLLL ' F M1 pe { Description }..r r..--.,.......,�,....,....,�...-,.r�.._.........,.��.�,.,...r_ �-ti-.�-�.y..l�.++r..-era-ri�t,..,•,r„--r�-r•..r.c--r��.JTar-y-•,,+-y,.w+-�•w -aiur-�+i 1F: .^Y.rdy ` L-ni�L,••Y� - /i'h••! 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M1 Lill rJ }ad. -.it Nv 4 States rt�s 1 �+a,..na�.. _... __. _ ... _._. - tiL--.�f— ��,r.,aT�-r-•r-� rn-_r4•r'.r,��,--r�rr.�-r.�-.--e•nn+..��r.-�ar•�aratr rr.,-r...,--.vrRr•:a�nnt �aay. ��yaJe_,- _ — _-_ __ _ _ �_a�� _ _ ��-�+��--�� �,+--•--f—r� r,--.-.r,--r-.n..�e SECTION 6: W(')RKF,.RS* ("OMPENSA0110N INSURANCE AFFIDAV14F (M.G.L. c. 152. § 25C(6)) }ham..-.YYn,•�e, a•�aas.•..,...I.aeua. _._...__._u�:•�aa.�+YaYka-ui+.a}.+u-�+R', ai+r-r �f+a.. ...__.. M1yyusau��r�a F•ra+a—u__.rf��--.r-i�-rr-rlri�-r•-e�-r-: mar. ram•_ -pia yj F Work- el-s Conlpensa-,61on Ins-Lirami e. f- a pia vit mus-4 be comple-ted and tibm i-t ed N�vlth this application. Failure. tprovide I r { tl •i affidavit will e-suft in the I til-0 of the s of the bufl&5119 Penillf. i.....�.�.r�+Ta�. rt•••.••-Y�+"FIF^�.�+ ..�, • .. r4+�.e-.Y4+4,1.-.-�.-�lti--Y,IF�W}ry��R'-r'.a,--N.�_,,,^rw•,--. .a-�+�rt.�-.v_-'�___� �rx�.• _ ..._.._ _w:..�,._.a�__+.,T --- --.err rati.v. wnaa+ i gm e � p i a i t t ea ch �? Yes'.. i f L f F a } L - .. �.�J -��-iisrJ.•„ren�.�..--.ter- r..:.�� .... �.._�,. a,.•i.r..�..._.._-a.•,I...,. �+�+I.,�zu-aar+ rp.����-r i++r K-•-�M�—�-r�.�l-�—'�--Tr�.�r.e—r-� SECTION Tar OWiNil, f AtiTHOR.17-4.ATION TO BE COMPLETEDWHEN OWNERS AG"ENK OR CONTRACTUR APPLIES FOR BUILDMG4 PEWN-11T LL•,�MXr•N]•YiYnW}rl!ALIT.*IL��*,I..r.��rr•ti-r..t•�r+a,a-+�u��rr+qua,ur�a�a+aaa-a�a.tiaa+n.u.+.aa+w+u�aua n-.avaa�.r•a{u..�.m.•.____.�u.a�..n_uawra.�.���.ue•..a,��u�a.+�.vRru�..0 a,�,.rea _. _ __��'�_�+F rt+u-e•a+�r�r r—�—rNr— - - �.,�-rJ-r-.,r,•,rrr f7F L4 as Owiler of, the subject properiv, lwr{ authorize �. ...� 1w,.-w.-w- to t : i all i ti r iv to or ut ri �� y this uT Id'ing it ali-mitm} +++u�f s1 - a'=+]�+-�F- -•- .-•-4iii�ma •�-r,�N•a.YLnrr- .� +i+_, uea +v+�-++fie-••Y-r-'� +Yti-wMa+�-,�-�L+4,�i+r-gar a,eLF+YeeiiN�-�--F.F tiy.� - •ur r .- .—•_ .. __�+�T�T (Eilect-on, lot rrrrrtflYrt�nrN.n r•i-.,n r•a�.SA�'�� - w�arn._w��.____.. ^_�"�"__—.__ __��._.__._._..__.. ..-_____._._-.________.-. _ _..-___-._� _.�_���r.�a�rA.n. ��aav a`r �y�a_..-+.n.u+i aa_y�a�.u� S .*C1f tO4N 7 h ONE+ ME R' THOR IZE D AG F.'N'T DECLARATION •+4+•+F�M�_•�+�__�Mrtrtrr-r�--r•-r-.�hy���F�ra�...�r�.rr.�atrt.�•rr.•ra'-.�a.�..---.�•.a--.n��aae.v�saar•�aev r•r•�Rrran wava�u•�va�a�.�er�a��r,r�waaaaa{.ayaa a� a-_ �5}u.u.a�.ar+.efa_�aaa�•__••_u_uui+n.rsaay.y• _— __ y�a�aa.uaaaAa�a�.ear I 1 I rrj fiy entcTing my willie b0ow, i li ere y attest under tbe pLains,,cmdalti c f perjury that allofFthe in for a ticm Or f kt i � k uaaaa,rya}+n+R,uaY+_-y+F+•aJ-a+L _ewn•,.a-r•.a.ti�.r•-r+r—rYl- �-a�,e r-_---��r-r.a�e as:��rr•. ��.a�^Yak..••.aay.P.�.�-.e��+..a�ar+r+va�ua. rnr+�uu.a+Sa�•r..._..__ aaa-+�a+a.a��a,�wuri.�f'_a1_u•..e v_u._.�r + -+ - - w�.�,.a_.-���•a-+rr,�.,...,.t--a.r_-...�•.�.�..�..�,}.�.�r.�...�,.ra:��,.,.a�..,.,....,.,�,.,.�,�r,�...u,�,�,..,+..-.a•� ���.�...�ua_��+--1-.,.�,++ar� �+,r+,�--r—����,-a...••oa,.�� �•,e�a+u-•��.•-.• a..�..r.r,f.z--+•wL�L�•I�e r• I. 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