17A-145 (4) � 79- 115
FINAL INSPECTION SKETCHES FEE _bS_0 NO. 2519/407 PROGRESS INSPECTIONS
APPLICATION FOR PERMIT TO DO PLUMBING
Dwellin Unit
f'r. -R. Benoit
NAME & TYPE OF BUILDING
220 Chestnut St.
LOCATION OF BUILDING
Ricb3.- aj_1s '
PLUMBER
Crolle Balise
PERMIT GRANTED
14 T o v 1 9 84
George ';.'. ,ta-ples Jr .
PLUMBING INSPECTOR
CITY OF NORTHAMPTON
APPLICATION FOR PERMIT TO DO PLUMBING
No. l�_ fA y 19
WORK MUST BE PERFORMED IN COMPLIANCE WITH ALL PROVISIONS OF THE MASSACHUSETTS STATE
PLUMBING CODE AND CHAPTER 142 OF THE GENERAL LAWS.
FIXTURES
Z
a
Z Y ✓�
F- In O Z Z w
W V) J Q U Q N O (.7
N Y 11) v> F- Z 7
O Z w Q 2 O Z Z [-
U m = Q: Y- Q N 0_ 0
F- z o ¢ v> a a u
m W O t" w Q ' D � ¢ J 7n w w J ? O w cx
w = Q = 3 3 O z = 3 Y d O F- ¢ Y Q w w
F- U > F- O N ti O In F- Z 0 0 V) ? w F- S
Q Q Q = — Q Q O Q J J Q o[ M Q F-
3 J m N O J 3 = F LL 0 7 0 Q 3 O
SUBBASEMENT
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.
Q20 CjkV:,3`1);dr .5r, CORPORATION_
PARTNERSHIP
FIRM OR COMPANY 0-BIOL-4,
NEW OR RENOVATION `
[ NAME OF MASTER OR JOURNEYMAN PLUMBER
NAME OF OWNERiny a
r� :" $.,.. };11 t;� ' n� €. { [`ws~° ..,`..lr� A ....l..P: A♦ r0 A 6
ADDRESS OF OWNER ADDRESS l f
PLANS SUBMITTED? YES TELEPHONE NUMBERS::
NO BUSINESS
ESTIMATED COST OF JOB RESIDENCE ?
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.
e Signature of Licensed Plumber
Designation and License Number of Plumber
P INt' P