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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.