17C-063 (3) M� 3
BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SKETCHES FEE �M 12•00 PROGRESS INSPECTIONS
NO.2764/202/85 8 5 CZ6
APPLICATION FOR PERMIT TO DO PLUMBING ;''
Dwelling Unit
NAME&TYPE OF BUILDING
Jim McGuire a Chris I.ouflas
LOCATION OF BUILDING
1 6,9 Chestnut Stl
PLUMBER
Rene Labbe
n;Atfleld Pl ;mb'nz
PERMIT GRANTED
DATE 17 July ig 85
George W. itarples "r.
PLUMBING INSPECTOR
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
Mass. Date 7-7 / 7 19
r
City, Town
Permit #
e Building Owner 's
AT: Location / Name)
Type of Occupancy:
New ❑ Renovation ❑ Replacement ❑
FIXTURES Plans
Submitted: Yes ❑ No El
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SUB-BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
5TH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR
(Print or Type)
77"Al"
Installing Company Nam@ i One: Certif.icatp
❑ Corp.
Address
❑ Partnership
❑ Firm/Company
Business Telephon Name of Licensed Plumber
I hereby certify that all of the details and information I have submitted(or entered)in above application are (rue and accurate to the best of mry
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 LaWq
By
Title _ Signature of Licensed Plumber
,_T e of Plumbing License
City/Town: 2�Jl_
APPROVED (OFFICE USE ONLY) License Number 91 Master 11 ,journeyman
1 r�/C 00
1 L v
1 B/T
Na 2764/:02/85
Date ...............17...July..................................19...8.5...,
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Plv-fnber .....Rene ',abbe
..............................................................
i
A tfield Plumbing
Jim McGuire
Owner Chris Lou �
.......................... .,� .................................,
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Address ..... t 6her_ut .
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......Mt....................St.... .........................
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Renovation vegv Appno
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