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2008 PT CruiserCity of Northampton ILAPPLICATION FOR PERMIT FOR TAXI CAB (City Ordinance C.21 — 44) (Except for Signature, PRINT all requested information) New Application ❑ Renewal LAST NAME CAS Business Name DESCRIPTION OF VEHICLE T4 Q-V7 REGISTRATION NUMBER 5 w11 lone•.... .•v....r—— 461 PCLIJ FIRST NAME GA u� d MIDDLE NAME /0 M"'ri S� 'a-1 2,9 x )9fq VEHICLE IDENTIFICATIUON NUMBER Picture of vehicle required Insurance Policy with specified limits required INSPECTION EXPIRATION (ATTACH PROOF) Child Safety Seat Plan Required Fee: $25.00 Business Address VEHICLE CAPAC , (PASSENGERS) I declare the above facts are ture and complete to the bestof my knowledge and I further understand that any false or misleading answer(s) will be just cause for denial or revocation of permit. SIGNATURE **w*w**w++ww++w**w*+w**w*sw**w*+w*ww*+w*w*****w**+*w**ww*ww*w*w**w+*w*+**ww*** APPLICANT DO NOT WRITE BELOW •"•••••••••••••••••••••...... FOR LICENSING AUTHORITY USE Sworn to this (�20 CITY OF NORTMAMPTON day of A0 20_X bef e l � City Clerk **+w**www*ww+w**w*+ww*ww*+ww****+****ww**w*w**w+++*w+**+**w++++*++**+*ww++*+++ This permit Appeal Filed? IS IS NOT granted. DATE Council Clerk DATE .�,. Dula L/ a RFGls:RY .� MOTOR VEHICLES TAN Taxi Normal MODELYEAR 1:11,11E MODEL MODEL NUMBER CHRY I PTCRUi ESS [IF DIFFERENT THAN MAILIN; 1 HAY DENVILLE RD LEEDS MA 01053-9768 1 HAYDENVILLE RD LEEDS MA 01053-9768 JEFFREY D MILLER PO BOX 26 NORTHAMPTON MA 01061-0026 LESSEEWI CUSTODY OF CERTIFICATE OF REGISTRATION M G L. Chapter 90 Section 24B makes it a cdme to alter this Certificate ASSACHUSETTS DEPARTMENT OF TRANSPORTATION 27569 RY sTYii VAN If this vehicle is newly acquired, it must be inspected within 7 days of registration. TWLJ NUMUER BU749925 vEHKxE IpENTFWATION NUMBER 3A8FY58B28T198416 tOTAL REGISTERED WEIGHT FOR A COMMERC AL VEHICLE OR TRAILER us ARBELLA PROTECTION INSURANCE COMPANY M/WMUM SEAT WG CAPACITY FOR VEHICLES FOR HIRE 94-U-8- Registrar of Motor Vehicles CHANGE OF ADDRESS 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.govlrmv 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.govlrmv 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. MASSACHUSETTS Commonwealth of Massachusetts Motor Vehicle inspection and Maintenance Program Vehicle Inspection Report tr Ak- Saaoads Please Review This Important information Your vehicle has PASSED both Its SAFETY TEST and its EMISSIONS TEST. The results are summarized in this report. Questions? Visit www.mass.gov/vehiciecheek 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 from7 a.m. to 8 p m on Tuesday and Thursday_ Overall Result: PASS Vehicle Information Station Information Safety Result PASS VIN 3A8FY58B28T198416 ERNIES GARAGE, LLC Emissions Result PASS License Plate 20664 72 KING STREET MA Start Test Date/Time 1/20/2020 8:21 AM Plate Type/State TAN I MA NORTHAMPTON End Test DatelTirne 1/20/2020 8:29 AM Vehicle Type PASSENGER (413) 584-0716 Test Type Regular Year 1 Make 2008 Chrysler Station Number PB005056 Sticker Number 210707342 Model PT Cruiser GASOLINE Workstation Number MAWOD000648 Inspection Type Initial Fuel Type Engine Cy1 !Size 412.4E Inspector Number ins P '""""0933 Inspection Counter 1 GVWR 5000 Odometer 120390 Inspection Fee $35.00 Safety Inspection Results Service Sra^� ----- PASS �Paadlig Crake _ p _ ti Headlight Aim and Operation n —_ _ ASS .PASS Li"nse-Pia;a-llounting-ard-Condition PASS Horn PASS PASS Slop Lights and Tail Lights PASS Directional Signals and 4-Wap PASS Front End PASS Lighting Devices and Reflectors PASS Windshield Wipers and Cleaner PASS Steering and Suspension PASS Frame NIA Muffler an d Exhaust System PASS Safety Belts PASS PASS Air Bags Windshield PASS Rear View Mirror PASS Window Tint PASS Fuel Tank Filler Neck and Components PASS Bumpersen Visible Smoke PASS Altered Vehicle Height PASS Tires Other PASS Inspection Comments None On -Board Diagnostic (OBD) Results OBD Readiness Monitor Results OBD Additional Data PASS Catalyst READY Miles Since Code Clearing s56 Tampering Check PASS Catalyst Heater UNSUPPORTED Warm -Ups Since Code Clearing Connector Result PASS Evaporative System READY Pin 16 Voltage 14.4 RPM Result Key -On BulbCheck Engine -Running Bulb Check Scan Tool Check Communication Result MIL Status Result Readiness Result VIR Number �nllllllll�ll�l�l�l�l�l��1�l�llll�l�l@�Ill�� NIA Secondary Air System UNSUPPORTED OBD Diagnostic Trouble Codes NIA A/C System UNSUPPORTED PASS Oxygen Sensor READY PASS Oxygen Sensor Heater READY PASS EGR and/or VVT System UNSUPPORTED OBD Permanent Fault Codes PASS 7F OA 80 Scan to visit website r ❑ r ■ f et o 5 �GlS�A(4 J IVIIC C^B "M1 l t 1 r L 16 w lep, *.1