2001 Chevy SuburbanCity of Northampton
APPLICATION FOR PERMIT FOR TAXI CAB
(City Ordinance C.21 , 44)
(Except for Signature, PRINT all requested information)
New Application Is Renewal
�A'11Air �r���
LAST NAME FIRST NAME Q MIDDLE NAME
cc).S-Mi c & �g 160 mo-h 5. IN -
Business Name Business Address
N401 Chen c `o��c-�crv� ,
DESCRIPTION OF VEHICLE
REGISTRATION NUMBER VEHICLE IDENTIFICATIUON NUMBER VEHICLE CAPACITY
(PASSENGERS)
7 $/�o
NUMBER OF SEAT BELTS INSPECTION EXPIRATION (ATTACH PROOF)
Picture of vehicle required Child Safety Seat Plan Required
Insurance Policy with specified limits required Fee: $25.00
I declare the above facts are ture and complete to the bestof my knowledge a e ief. rther derstand that any false or
misleading answer(s) will be just cause for denial or revocation of permit.
SIGNATURE
APPLICANT DO NOT WRITE BELOW '•'•'•••'*••,•••••••••••••••• FOR LICENSING AUTHORITY USE
Ll A/� CITY OF NORTHAMpTON
Sworn to this day of 20 , be or e
City Clerk
This permit IS
IS NOT granted.
DATE
Appeal Filed?
Council Clerk
DATE
Commonwealth of Massachusetts Motor Vehicle Inspection and Mantenance Program
MASSACHUSETTS
Vehicle Ins ection Re ort �Yr.,.'
p p C�nerAk . 5aW Rwda
Please Review This Important Information
Your vehicle has PASSED its SAFETY TEST. The results are summarized in this report.
Questions? Visit www.mass.gov/vehiciecheck or call Customer Service at 1-844-358-0135. Customer Service is staffed from 7
a.m. to 5 p.m. Monday, Wednesday, Friday, and Saturday, and from 7 a.m. to 8 p.m. on Tuesday and Thursday.
Overall Result:
PASS
Vehicle Information
Station Information
Safety Result
PASS
VIN 3GNFK16T91G181969
ERNIES GARAGE, LLC
Emissions Result
NIA
License Plate TA603C
72 KING STREET
Start Test Daterrime 8131/201911:48 AM
End Test Date/Time 8131/201911:54 AM
Test Type Regular
Sticker Number 203970362
Inspection Type Initial
Inspection Counter 1
Safety Inspection Results
Plate Type/State
TAN 1 MA
NORTHAMPTON
Vehicle Type
TRUCK
(413) 584-0716
Year / Make
2001 Chevrolet
Model
Suburban
Station Number
Fuel Type
GASOLINE
Workstation Number
Engine Cyl / Size
8 J 5.31-
Inspector Number
GVWR
8000
Odometer
247510
MA
PB005056
MAW00000648
—**5128
Inspection Fee $35.00
License Plate Mounting and Condition
PASS
Service Brakes
PASS
Parking Brake
PASS
Horn
PASS
Stop Lights and Tail Lights
PASS
Headlight Alm and Operation
PASS
Lighting Devices and Reflectors
PASS
Directional Signals and 4-Ways
PASS
Front End
PASS
Steering and Suspension
PASS
Frame
PASS
Windshield Wipers and Cleaner
PASS
Safety Belts
PASS
Air Bags
NIA
Muffler and Exhaust System
PASS
Window Tint
PASS
Windshield
PASS
Rear View Mirror
PASS
Bumpers/Fenders/Exterior Sheet Metal
PASS
Fuel Tank Filler Cap
PASS
Fuel Tank Filler Neck and Components PASS
Visible Smoke
PASS
Altered Vehicle Height
PASS
Tires
PASS
Other
PASS
Inspection Comments
None
VIR Number
l�llgll Illf IIIII�I� I�I�����I�II� Il��li� R Q�
Scan to visit website
501
N0 R1
s
s
SID CERTIFICATE OF REGISTRATION
M.G.L. Chapter 90 Section 24B makes it a crime to alter this Certificate
7,F, REGISTRra MOTOR VEHICLES MASSACHUSETTS DEPARTMENT OF TRANSPORTATION
OF ADORE9S ❑ RESIDENTIAL MAILING ❑ GARAGE
Important information for vehicle owners
Certificate of Registration- Every person operating a motor vehicle shall have the Certificate of Registration for the motor
vehicle and/or trailer, in the vehicle, in some easily accessible place. The records of the RMV constitute the official status
of the vehicle registration.
• Change of Address: By law, you must report any change of address to the RMV within 30 days. Visit mass.gov/rmv to
change your address. Once you have reported the address change to the RMV, please write corrected address in box
provided above.
• No Insurance Card Required: Massachusetts law does not require an insurance card. M.G.L. Chapter 90, Section 34, and
Chapter 175, Section 113A, requires the vehicle's owner to maintain a compulsory motor vehicle liability insurance policy
or bond for bodily injury coverage and property damage insurance. The insurer is required by law to electronically notify
the Registry of Motor Vehicles if coverage lapses. The vehicle owner is then notified by the RMV to obtain new insurance
within 10 days or the registration will be revoked. Bonds are filed with the State Treasurer's Office.
• Transferring Your Plates: Massachusetts General Law (M.G.L. Chapter 90, Section 2) allows you to transfer valid
registration plates from this vehicle to a newly acquired new or used motor vehicle or trailer while you obtain insurance
and a new registration. See the Transferring a Registration Section on the RMV's website at mass.gov/rmv for more
information.
Cancel the registration plates if:
• The vehicle has been sold or junked and the registration is not going to be transferred to another vehicle.
• You move to another state and you register the vehicle in that state.
• The insurance policy is not renewed or is cancelled and there is no plan to obtain a new policy.
r4r 1.�`r 1 •, *+Ye.i.l' +fir. -
6
W�
} u^frt
s �Y- i+''�t :Y. �Y .` -+ems,• =_Sf L'._�Y�ti.