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MASSACHUSETTS( UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY A)!"7�o—,WIQ#� MA DATE ' j 7 PERMIT#
i
JOBSITE ADDRESS OWNER'S NAME „!4 (Zoe GdtT
P OWNER ADDRESS � r,� --- TEI-ya-&F 7j
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL[ ^
PRINT
CLEARLY NEW:Q RENOVATION:0�REPLACEMENT:CJ PLANS SUBMITTED: YES❑ NOD
FIXTURES Z FLOOR- BSM 1 1 2 3 1 4 5 6 7 6 1 9 10 11 12 13 1 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM _.
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
I•
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK PL'` ^ 1°^
TOILET K ` `' T
URINAL Y 'D i NO T APP OV -
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES F.1-1 NO
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY Q OTHER TYPE OF INDEMNITY® BOND
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY: OWNER ❑ AGENT
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the b t of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be in complia with a� in rovis'
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Michael Porter LICENSE# 13671 S{ NATURE
MPF-71 JP El CORPORATION ✓[]# 3815 PARTNERSHIP❑# LLC[ #
COMPANY NAME Patriot's Plumbing ADDRESS 20 Pleasant Street,Suite 2
CITY Leicester STATE MA ZIP 01524 TEL 413-668-6544
a
FAX CELL EMAIL pathotspiumbing@yahoo.com
LS e---c,,p ,o� ,
;
J27
City of Northampton Mail-Fwd: Ending Contract with Patriot Plumbing https:Hmail.google.corn/maiY?ui=2&ik=da6517e5f4&jsver=lEZPUT...
City Of Larry Eldridge<leldridge@northamptonma.gov>
Xor>ER mptan
Fwd: Ending Contract with Patriot Plumbing
2 messages
cyn<cyngularcyn@gmail.com> Mon, Jul 3, 2017 at 12:29 PM
To: leldridge@northamptonma.gov
Hi Larry,
This email is to let you know that we have ended our contract with Mike Powell of Patriot Plumbing. Please note
that this cancellation is only for my side of the house and the work being done on my Aunt's side under Paul
Davis is still intact.
This might be a bit confusing so please let me know if you need clarification of if you have any questions. I'd
hate to see my Aunt's work come to a halt because I've cancelled my piece.
Thank you for everything,
Cynthia Roberts
191 Main St., Leeds
Larry Eldridge<leldridge@northamptonma.gov> Mon,Jul 3, 2017 at 1:07 PM
To: Meghan Cahill <mcahill@northamptonma.gov>
[Quoted text hidden]
1 of 1 7/3/2017 1:07 PM
JqJ MAIN ST LEEDS EP-2017-0827
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Map: 10B
Lot:092 ELECTRICAL PERMIT
Permit: Electrical
Category: INSTALL LINE VOLTAGE SMOKE DETECTOR SYSTEM&MISC ELECTRICAL RENOVATIONS
Permit# Electrical
PERMISSION IS HEREBY GRANTED TO:
Project# JS-2017-001866
Est.Cost: Contractor: License:
Fee: $155,00 MARNEY ELECTRICAL SERVICES
Owner: ROMAN CATHOLIC BISHOP OF SPRIN C/O OUR LADY OF
THE HILLS CHURCH
Applicant: MARNEY ELECTRICAL SERVICES
AT. 195 MAIN ST LEEDS
Applicant Address Phone Insurance
175 MAIN ST (413) 584-0737 C-(413) 535-8905 Liability, BKS55761053
LEEDS MA01053 ISSUED ON.3130120170:00:00
TO PERFORM THE FOLLOWING WORK:
INSTALL LINE VOLTAGE SMOKE DETECTOR SYSTEM & MISC ELECTRICAL RENOVATIONS
Call In Date: Date Requested Inspection Date/SiRnOffi Reinspect?:
Trench[UG:
Special Instructions
x
Rough 1/ 7 /Z
x
Special Instructions:
Final: '�- t1- 177 e V11 -S -7
SRECalled in:
Signature:
Fee Type:: Amount: DatePaid
Electrical $155.00 3/30/2017 0:00:00 7916
212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Maio