29-122 $ODD OF HEALTH DATE RECMnMD: DATE ISMMD: PHRMIT NO. YEAR 1994
U ONLY owl
NORTHAMPTON BOARD OF HEALTH
MAIN STREET
NORTHTH AMPTON,MA 01080 LICENSE FEE: $28.00
S 1
(413)686-6960
Date:
Name of Business c V 6LL& ' 6XJ Telephone # -103
Business Address ) l Q
Matl!_Tg Address (If different)
Name &Title of Applicant
Address of Applicant ' U i6 U
Name of Owner (If different)
If corporation or partnership, give name, title &home address of oMoers or partners.
Name Title Home_ dress
In accordance with the provisions of the Statutes relating thereto, application for a
Disposal Works installer's Permit is hereby made to operate as an INSTALLER in
Northampton, Massachusetts.
Signature of Owner or Corpo ate Officer Social Security or Federal ID #
Telephone#
EASE MAKE ALL CHECKS PAYABLE TOT CITY OF Nomu&mPToNj
.......... ........ ............... ...
LAVALLEY & SONS CONSTRUCTION COMPANY 1759
541 RYAN RD
FLORENCE, MA 01060 53-7093/2118
413-586-0483
:lAY -19/
DRrO THE
DER OF
U, I $
-�A DOLLAR
&1fi*6W
Easthampton,Massachusetts
-OULPI-pa-L U)Cjuj)
"NO 0 1 ? S9113 1: 2 1 18 7 6/9 3 51: 05 22 590L, 250
........................ ........................................---a.
COMMONWEALTH OF MASSACHUSETTS t
FEWERLAIN,F HEALTH CITY OF NORTHAMPTON
950 Ext.213
MASSACHUSETTS 01060
E,Cha rmn -
RES,MA. OFFICE OF THE 210 MAIN STREET
.PARSONS BOARD OF HEALTH NORTHAMPTON,MA 01060
N,Health Agent
;Dt".5po5al
EEO
Permit No. DWI-9 License Fee: $25'00
�n a.ceouLn z Wid TE9ufations #,ro►nu�ated in aonfovnity with tL &atz
cSanita,ry Cock :Jit z (V, cRE9uLation 2.2, a JT51s#osaL ' V od s. Jn�taLLE� �
(PE'Lh2it is nEZELTLJ C�'LCLntECL t0:
J ✓ LaVALLEY & SONS CONSTRUCTION CO.
Theresa D. LaValley
(MosE #facz of 9usinESS is: 541 Ryan Road
Florence, MA 01060
gy#E of gus.inEii: DISPOSAL WORKS INSTALLER/REPAIRER
So eonstzuct, aftEZ, instaf, oz zz#ah inciivic>!uaf szwagE df1s#oRd syst tns in
ort"#ton, 4:-Mo4
Permit Expires: December 31, 1994
John T.Joyce
1994 AALL -W'b
R:
Awe Buret,MD
Page 37
. 0
G �1�P Cnummnll>urttlYll of �tt,�sttrflus�z2s BUSINESS CERTIFICATE
\� City of Northampton
..................:)'U- A.-.....:.5.......................19.1� .
In conformity with the provisions of Chapter one hundred and ten, Section five of the
General Laws, as amended, the undersigned hereby declare(s) that a business under the title
of .....X C&l '......... ....... 2% ...... `'.........................................
...............................
........................�...................................../.........................................................................IS conducted at
Number.... ��1/........�L.y... :-�.. �!. ....
Street
.................... �....... 7i1.G✓1L ..... ........ ...................�?��. .. ........................................... .
CITY OR TOWN
by the following named persons.
`. . . FULL NAME � c/ RERESIDENCE
!�.. . . �..... G .............J
.......... LC .......
.......................................................... ................ ..... .........................................................................,.........
...............................................................I................... ...................................................................................
................................................................................... ..................................................................I................
Signed
..................................
(SIGNATURE) ......
(SIGNATURE)
............................................................................... ...............................................................................
(SIGNATURE) (SIGNATURE)
The Lnmmunwrzilth of :ffia_q_gar4ugrf25
Hampshire.........................SS. .....November 5 92
............................'................. ., 19.........
Personally appeared before me the above-named ... Theresa D. Lavalley
. ......................................................
...............................................................................................................................................................................
...............................................................................................................................................................................
and made oath that the foregoing statement is true.
A certificate issued in accordance with this section shall be in force and effect for four
years from the date of issue and shall be rene ch four years thereafter so long as such
business shall be conducted and shall lapse, nd be v.'d unless so ren we
Expiration Date: November 5 , 1996
................. ..
(Seal)
"A true Copy , • .
Attest"
--Ft_ie #5558 , — City .....................................
Assistant City Clerk.................. TITLE
Form 496 A. M. SULKIN. INC.. BOSTON
NUMBER FEE
THE COMMONWEALTH OF MASSACHUSETTS
of ----171a14z11."1-1CZ
This is to Certify that .'.V.....r -lz�ozo....•--.......................................
NAME
........ ... .0
......... ..... ................................
ADDRESS I/
IS HEREBY GRANTED A LICENSE
For ....... ..joI�' z�_. f/......
............... ................ ...... ----•-.--............ . ---------••--------- ------—-------------- ......... --..._.....------• .•..•.....
......•..... ................ ---•...........- -----....•..... ------ -----..._•----•-----------•----------•--.... ...... .......----_.----..--------•--------------
.. -------- -- ...........I......... -------•---•.----............ --------....----.........—.... ..... ------------------•--------....----_..
This license is granted in conformity with the Statutes and ordinances relating thereto, and
expires— ...... zq.��-—------unless sooner suspended or revoked.
---- -- -- -- ---- --------- - ----- ----------
IC.......•..•.
........19.... - ------
;0-I-- -------------
Z4-------
..........
........... --- . ........ .. . ......
� ------------
--------------------------- ------------- ........ ---------------- ...... .......
FORM S 433 A V SULKIN INC BOSTON
L;4-
NUMBER FEE
19 THE COMMONWEALTH OF MASSACHUSETTS $5.00
--------City----- of -----Northam ton--•----------------------------------- -
Board of Health
Edward B. LaValley
Thisis to Certify that - ------------•----• ------- -------------••-------•----•-------•-----------•-------------------•--------..............
541 Ryan Road NAME
--------------- ---------- ---------------- --------- -------------------- --------....---..----.....------ ------ --------------------
ADDRESS
IS HEREBY GRANTED A "DISPOSAL WORKS INSTALLER'S PERMIT" TO
CONSTRUCT, ALTER, INSTALL, or REPAIR,
Individual Sewage Disposal Systems
This permit is granted in conformity with th to Sanitary Code—Axticle XI, Regulation
2.2, and expires December 31, 19.7-5_---- I-i ss soo r s>r,�ended_oi' rvok d.
January 23, 75
---------------------------- ----- ----19---------
_ ------ ------- ------------------------- ------- ---------• Board
Original ------- of
--
`� Health
c� --- ----
FORM 1256 HOBBS&WARREN, INC.
���.
Wiz._ E FLORENCE SAVINGS BANK No. 20344961
FLORENCE, MASS.
BANK PERSONAL MONEY ORDER j 5-13
1 9
X71 CUSTOMER'S CO;Y
VALUE NOT TO EXCEED
$1500.00
THE NEW ENGLAND MERCHANTS
�. SIGN E
NATIONAL BANK
BOSTON,MASS,
A R �
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FOR
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om ate► 7.1` SEC. Date_ /
We do L-1 do not"Ell— have underground facilities
on L,/ i�%V��u> �}_ ✓ _=�Ant�, at the
Strout Town
location of your proposed opening.
Name /YJ/c� sC
dddre s s
Tel. No. , _�!�o
COMP !/�l07 s. � '' —. Date °/7407/
We do do not
have underground facilities
on // e/9Y �rr,D77n�� at the
ly ` Street Town
location of your proposed opening.
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LAVALLEY AND SONS CONSTRUCTION CO. 1385
541 RYAN ROAD a
j FLORENCE, MA 01060
53-706
"1 4, 1 (T/ 118
PAY 01 , 19
TO THE
ORDER OF A-4 -Eu- f '0'�J%�
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IA,_ ° ! National Bank _
SOUTH HADLEY•MASSACHUSETTS
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LAVALLEY AND SONS CONSTRUCTION CO. 1386
541 RYAN ROAD
w �
�I FLORENCE, MA 01060
53-706
19 118
FAY 1
�I T THE
O �i 1 $ J
ORDER OF G� �( li J��
o ' %; DOLLARS r
r
r
c` Hampshire
National Bank I
SOUTH HAOLEY,MASSACHUSETTS
FOR �� nS F'I � �,d
11'00 138611' 1:0 11a070691: 9 21,1361 93311'