Petitioner: Applicant Information
Rooming House & Manager Information
| Name of rooming house |
Chelsea Test Rooming House
|
| Address |
401 Broadway Chelsea MA
|
| # of floors |
4
|
| # of rooms |
10
|
| # of lodgers |
13
|
| Telephone |
---
|
| Manager Name |
---
|
| Manager Home Address |
---
|
| Manager Telephone |
---
|
| Manager Email |
---
|
Owner Information
| Owner Name |
Test
|
| Home Address |
---
|
| Home Telephone |
---
|
| Owner Email |
---
|
Certificates (required)
| Certificate of Compliance - Workers Compensation |
---
|
| Wage Theft Certification |
---
|
iPetitioner: Certification
Applicant Certification
City: Assign License Commission Review Date
City Tracking
| License Commission Date |
2017-10-04
|
| Application Ready for Review? |
Yes - add to commission agenda
|
City: Issue License
City Tracking
