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25C-106 (6) N V s'Aro lot NOV 09 Igg2 w N J a U a N M a 0: N Y J N r Z 7 z In a 0 ° z ? r 111 O Z C co y W Q W W z 0 .4 Z q O. X C r _Z p 4 N O: O. LL O: W r0 r w a N p 3 J N K Q Y p K C w x a = 3 O le r r v > r 3 x o D N r z 0. o N Z Z w s a a O a OJ J # Y J W N a p J 3 x r N LL 67 p 4 3 O SUB-BASEMENT BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR 9TH FLOOR 10TH FLOOR 11TH FLOOR 12TH FLOOR 13TH FLOOR 14TH FLOOR 15TH FLOOR 16TH FLOOR 17TH FLOOR 18TH FLOOR 19TH FLOOR 20TH FLOOR NAME AND ADDRESS OF BUILDING NAME CERTIFICATE NO. CORPORATION_ 't.3.0 gy PARTNERSHIP FIRM OR COMPANY I NEW OR RENOVATION NAME OF MASTER OR JOURNEYMAN PLUMBER NAME OF OWNER— ADDRESS OF OWNER &-230 �u ADDRESS— PLANS SUBMITTED? YES TELEPHONE NUMBERS: ' NO ✓ BUSINESS ESTIMATED COST OF JOB lt� RESIDENCE 73�O�nf� 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 provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. f� Signature of Licensed Plumber Designation and License Number of Plumber FORM 1240 HOS9S b WARREN. INC., REVISED SEPT. 1973