32A-183 (7) }
BELOW FOR OFFICE USE ONLY
FINAL INSPECTION SKETCHES $ �� PROGRESS INSPECTION
FEE
NO. 1?3/P7
APPLICATION FOR PERMIT TO DO GASFITTING
D'F e l l I n e U i
NAME S TYPE OF BUILDING
Vera W. Hill
LOCATION OF BUILDING
73 Bridge Pd.
PLUMBER OR GASFITTER
Robert Langdon
LIC. NO.
PERMIT GRANTED
25 June. S7
DATE 19
George Staples Jr.
GAS INSPECTOR
L,U -; -18.3
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
n Mass. Date Jut) 19
_ City, Town Permit # �, 0 d
Building �Q .1 (� Owner 's
AT: Location ,l, r i V q e I`l di Name �e Y C3 0/,
El 0 Yea (D Type of Occupancy: /JzUs e
GNew ❑ Renovation Replacement�]C
Plans Submitted Yes ❑ No
N
to W y
N N V Z CG
W F-
N
N CC N CC O N Z !-
W J
r ZQ' Y iQ W. r m Y N t•
0 CC V
W m Z F tL
O h O C O Z tZ
W W O IL
W a I- >
WJ -
Z H 0 >
Q > N m Y O Y 1
N W�O Q J..
H 0 Z
>W W M C W
2 a Z Q Q O O W O W I-
OC Z O O Z U. n I O C9 J U CC > O O. F' O
SUB—BSMT.
BASEMENT
iSTFLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
5TH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR
(Print or Type) Check One: Certificate
Installing Company Name V--_ L.an q o4 Corp.
T-r- ❑ p.
Address � r �i n tpe [] Partnership__
E I o Y, ell ❑ Firm/Company
Business Telephoned 0- / of j Name of Licensed Plumber or Gasfitter
&a b e y-t W. L.a n g d o
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 Gas Code and Chapter 142 of the General Laws.
TYPE LICENSE:
By Plumber If
Gasfitter Signature of Lice sed
Title Master Plumber or Gasfitter
City/Town: Journeyman i R 6 7 o
License Number
APPROVED (OFFICE USE ONLY) P�INf SII P
I D c
1.
J
Date uric 1'9 87
Plan No. 7
Gas Fitter
VC7, 1 ' '°
Owner
7 1 A,
I -1, 10,; RAO
Street
Building Old—New.