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24D-292 (8)/ y as` ,f y-5-- I nem, ceniry mar, mi onne a .- e'm iomuncom' . nave .1 Win.=.. __ _. - - and that all piurnbing work and InstagatiOns wftrmed under the p Mlt tsauee uon of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws, PLUMBER-GASFITTERNAmE Ronald Hodges LICENSE# 9452 {� SIGNA RE MP + MGF JP JGF LPGI CORPORATION # 472616345 PARTNERSHIP # LAC # COMPANY NAME: Hodge City Plumbing, Inc. ADDRESS 60 North Maple Street CITY Florence STATE MA 7IP 01062 TEL 413w586-1150 FAX 413-585.5747 CELL 413-575-9030 EMAIL scoff@hodgecity.net MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS WORRK2 � CITY /t L)lr MA /FITTING DATE a`1'/))7 PERMIT#„ lilt"��� J ✓� JOB5ITEADDRESS 6J c,J 4y (j}- . OWNER'S NAME t It(. Cctle) j('� GOWNERADDRESS J TEL 6?,-- 7b t/ FAX TYPPNOR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIALPRT CLEARLY NEW: RENOVATION: REPLACEMENT: ✓ VLANSSUBIAHTED: YES NO'"'� APPLIANCES? FLOORS B:SM r z 3 4 5 s i e s 10 11 FI2 19 14 BOILER BOOSTER CONVERSION BURNFR _ COOK STOVE DIRECT VENT HEATER _ DRYER,-; FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLEINFRARED HEAT—ER LABORATORY COCKS MAKEUP AIR UNIT _ OVEN POOL HEATER _ ROOM I SPACE HEATLR ROOF TOP UNIT _ _ -- TEST — UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER p INSURANCE I have a current liability insurance policy or its substantial equivalent w NO I IF YOU CHECKED YES, PLEASE INDICATE THF TYPE OF COVERAGE BY CITE LIABILITY INSURANCE POLICY + 0 OWNER'S INSURANCE WAIVER: I aware licensee does he gthature rmit app, that Massachusetts Gerceral laurs, and that my signature on this permft.app AGENT SIGNATURE OF OWNER OR AGENT I nem, ceniry mar, mi onne a .- e'm iomuncom' . nave .1 Win.=.. __ _. - - and that all piurnbing work and InstagatiOns wftrmed under the p Mlt tsauee uon of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws, PLUMBER-GASFITTERNAmE Ronald Hodges LICENSE# 9452 {� SIGNA RE MP + MGF JP JGF LPGI CORPORATION # 472616345 PARTNERSHIP # LAC # COMPANY NAME: Hodge City Plumbing, Inc. ADDRESS 60 North Maple Street CITY Florence STATE MA 7IP 01062 TEL 413w586-1150 FAX 413-585.5747 CELL 413-575-9030 EMAIL scoff@hodgecity.net ROUGH CAS INSPECTION NOTES THIS PACE POR INSPEl�rOR USEQNLV ` PINAL INSPECTION NOTES _ Yea No THM APPUCATiON SERVES AS THE PER0 rl S PEE: SPERMR lj{ PLAN REVIEW NOTES �/ JY /% l7lLLSs�S 17 8'N_'7'� c,yL'ZCyc� rC'F-C3f-> �i June 29, 2017 Jill Cohen 63 Hawley St Northampton, MA 01060 Dear Madam, Following Gas work performed by Hodge City Plumbing at this location, the Plumbing & Gas Inspector performed an inspection on February 14, 2017. At that time there was no Carbon Monoxide protection on the 2nd floor, and is was expressed that a detector would need to be installed. This office left a voicemail message explaining that the Inspector would need to go back out and confirm this had been done. We did not hear back from you, so we sent a letter dated 5/18/17, We still have not heard from you, so are sending you this Certified Mail. You need to call our office as soon as possible to schedule an inspection. The Plumbing & Gas Inspector needs to be able to confirm you have a working Carbon Monoxide detector or he will be contacting Columbia Gas and your service may be interrupted. Thank you. Northampton Building Department Office of Inspections (413)587-1271 mcahill@riorthamptonrna.gov a�D- aG ■ Complete Hems 1, 2, and S. r PrkEymurttertte ecx/addressan ttre revnso so that we Can return the card to yoo. ■ Attach this card to the beck of the mallpieca ,3 ii ti (—\7ka N.. OMUL) 8590 9943 0200 5120 4329 89 ICCUMP��//((Pff Jt TNtS SFO Y'i0N ON DELNERY _/5 7013 3020 0000 &144 7960 "�^wte°OeAa�' "°m"Ce40e1"B1 PS Form 3811, A.prii 2015 MN i5sq-0Z•OOo eW3 Gu mstic Return Receipt UNITED STATESMW I II II I / ! CT MI r 1/ Sender: Please print your name, address, and ZIP�40-in Nii'Box- 06v-' ham'v� '�\dcr� -bp+fi a \ a P'O-Ln s -t KDCf+k nm-� . H A 0kOL0 5 USPS TRACKING# II I I IIII I I Il�Ill�illpl�'17rRPfl7^I��11'�1.11�lli��ll,,ll,,,,ll,l,,,;,; 9590 9403 02U0 5120 4329 89 G-10 P.Id