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32C-113 (7) 'I z I- r ■ ■ 'a m 0 -I 0 z ■ ■ -1 0 ■ `! ! | * * r a 0 \ � / t m / C \ x / > ƒ m % .r ® s . , » # ®in g j 7 ■ 2 6 ro \ \ N 0 O -4 / ® / m m e 0 c 2 0 0 : . 2 \ 0 ® ■ / c 0 4 11 "n / `\ 2 / / 0 c CO ~ 11 z MI 0 \ . R / 0 - § $ \ _ a -I / 2 ® ® 0 E § » / 0 % m i ` ® V 2 l ■ ■ C k 0 \ | z , 33 0 - � ! \A » o Q / MI 0 ■ w E -) In C © 0 0 z o U, (----1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING ,, (Print or Type) /A -- -E , i -- r1 /Q/--//i-a /oh— , Mass . Date— - /; 19 g7 .,,, City, Town Permit # _, ��� Building r , Owner ' s . `o` AT: Location �/ )hiz Rt e el Name L14 h /72//7S (Shapmhoc/ G -eh Licr ) / illEll Type of Occupancy: New ❑ Renovation Replacement ❑ PI.anS FIXTURES Sb Yes El No E3 i, = CC Z ~ to Z O Z Z Z C. to Z 0 4 tr cc W I.- J• N rh N Y W 0 3 X o Z X m N yj !- •ie44 F- fd Z G Q N Z cc 73- cc O LL cc W O 7 W d N Q W rn cc J O OC C LL CC H▪ V > I Z, O U Z a 1. Z O p N Z Z W I O O Z Y J CO N r7 G J 3 X t- O ts. 0 n 0 4 3 OC 00 0 -4 . SUB-BSMT. BASEMENT 1ST FLOOR , , _ , 2ND FLOOR / / 3RD FLOOR . . 4TH FLOOR 5TH FLOOR 6TH FLOOR _ 7TH FLOOR 8TH FLOOR _ _ - - A (Print or Type) Richard's Installing Company Name Plg.& Htg. Inc. Check One: Certificate ❑ Corp. Address 79 Union Street ,Rear ❑ Partnership Easthampton,Ma 01027 ❑ Firm/Company Business Telephone 413-527-0291 Name of Licensed Plumber RICHARD A BOULANGER - ---------__-- I hereby certify that all of the details and information I have submitted (or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent pro- visions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. /By .d._.,---, ..�. — - Title Signature of Licensed lumber Type of Plumbing License City/Town: N -7867 tt�J--11 Master ❑ Journeyman APPROVED (OFFICE USE ONLY) k License Number r► ,, � `` c $12.00 lay" bit 7 0, 0 13 87 Date May la Richard Boulanger Plumber Richard' s Plumbing Owner Jobn Diggins 59 Address Conz Street Renovatdnn ----.....imammunammuunonumminixot