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36-026 (6) C-) I) / ?�> ::_i M 0 ID (D CD 0 (D m (a cn rl I-tv 1-4 cl) C7, 2) rA (Print or Type) j(� (� `� IC-4 A J /4 Mass. Date�a 19_ City, Town Permit # /. Building Owner ' s' AT: Location Name " o? Type of Occupancy: New ❑ Renovation ❑ Replacement ITT Plans FIXTURES Submitted: Yes ❑ No El z Z N < W = x t- N N to O Z = > W >- V < W = (y W U) Z .d W W _ W N Z O z Z N d OC oC W F- N t- o In Y 1- U W to Y a ` a a 3 x V Z tY m y W �' Q t. N Z O t N O tL a O — W O O W < N is 4 W to Ot: J C of O w oc H c ; a �. e W x < x � X O Z Y C O < W lL X W l" V > H O x a 7 of t Z O O �+ 2 Y W t" O v x < < < x m < < O < -s ,j < ac W as < o C F- 3 o SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 6TH FLOOR (Print or Type) Installing Company Name_ C•I .L. Inc. Check One: Certificate © Corp. 971-C Address 68 Bruc(forci Street ❑ Partnership I:ortlir;d:�Iti;n, .'iris . :��IOC-0 -- ❑ Firm/Company ` Business Telephone 51, )-sl o Name of Licensed Plumber C1.«rlc.� J tiazeski Jr I hereby certify that all of the details and information I have submitted(or enle(ed)in above application ate true and accutale to the best of toy knowledge and that all plumbing work and installations perfumed under Permit issued for this application will be in compliance with all pertinent pro- visions of the Massachusetts State Plumbing Code and Chaptcr 142 of the General laws. By - *" 13 Title Signa ure of Ld Plumber t ^� Type of Plumbing License City/Town : t APPROVED (OFFICE USE ONLY) License Number ❑ Master [] Journeyman , \ $� ~� � � � �z — -~ ~, 25 June 87 Date 19----- Charles_ J. _---__ Jr. Plumber CIarlas Ptnmbin& �a?or Allen Owner 28 Deer[lel8 Drive Address ............................................ 8eploae-ment ~—'—'-~'~^~'~~'--'^^—''-~---------^—^'^--'''— A O Z N fll �•i A 2 fA N r z m A 03 In r. O + ••m cn O n O 'O pc) o N M 111 o _ N• > co C t O N � � w• ea � r{ D C„� • O O C m > O O � • L4 a L4 y 1 ran O o A = > O � N > N N 10 j 1f CIO -� O x �0 7D O O rn N N C? N O Z MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) 2& `k /< I_ Mass. , 19 J Date I City, Town Permit # Building Owner's AT: Location c Name Type of Occupancy: New 11 /r, ❑ Replacements Plans Submitted Yes ❑ No ❑ N Y W N 2 9 fl/ W to a O V m f- x x M xW X O W 001- 4 < O O O Y H N 0 W � N zw < at p. O H S W W N J � < = W °C o x > w t- y J H W Y < W r < = ` OrC y< < p p W O W < W > rr: W � Y old x W O 3 O t7 J V at O o. 1-10 SUR—OSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 6TH FLOOR f 6TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) Check One: Certificate Installing Company Name C.P.li. Inc. 0 Corp. 971-C Address 68 l3radford street ❑ Partnership Northan .ton,' Mass. 01060 ❑Firm/Company Business Telephone 584-5950 Name of Licensed Plumber or Gasfitter Charles J. Mazeski Jr. I hereby certify that all of the details and information I have submitted (or entered)In above application are true and accurate to the bell of my knowledge and that all plumbing work and installations performed under Permit issued for this application will M in compillwoo with All pertinent provisions of the 1Lssachusetts State Ges Code and Chapter 142 of the General Laws. TYPE LICENSE: By Plumber Title Gasfitter Signature f Licensed Master Plumber or Gasfitter City/Town: Journeyman APPROVED (OFFICE USE ONLY) License Number $4.T-) 215 Jur-c 1()P7 Date Plan No. Chnr-les J. Mazes'-2 Jr. Charges P i!i-11)i r. Gas Fitter--L�- Owner 2S N --rf;cI6, DrIvAc Street Building Old—New.