Created by gpt-4o-2024-11-20 on 2025-06-09

The image is a historical document titled "Application for Permit to Do Plumbing". It originates from Haverhill, Massachusetts, and is addressed to the Board of Health. The design suggests it is a form from the early 1900s, as indicated by the year field (190__).

The form contains information fields and questions to be completed regarding specific plumbing work specifications. It includes sections to detail the following:

• Building Information: Location, ward, nearest streets, nature of the building, stories, and if it's a new construction or reconstruction of an old building.
• Personnel Information: Architect, builder, plumber, and their addresses.
• Plumbing Details: Questions related to privies, cesspools, main drains, traps, fresh air inlets, soil pipes, waste pipes, rainwater conductors, safe wastes, refrigerator wastes, tank overflows, underdrainage, and the ventilation of water closet apartments.

Each field requests detailed information about the materials, dimensions, ventilation, and connections for plumbing systems, demonstrating the meticulous standards for plumbing at the time. The form is uncluttered and formatted in a simple, single-page layout with ample space for handwritten completion. The city seal of Haverhill is stamped on the top left corner. Overall, the form reflects the procedural requirements for obtaining plumbing permits historically.

Created by gpt-4o-2024-08-06 on 2025-06-09

The image shows an old form titled "APPLICATION FOR PERMIT TO DO PLUMBING" for Haverhill, Massachusetts. The form is addressed to the Board of Health and is dated with the year 190_. It is used for applying for a permit to perform plumbing work, requiring the applicant to provide detailed specifications.

The form asks for information about the location of the building, the nearest cross street, the building's nature, and how many stories it has. It asks if it's a new building or a reconstruction in an old one and requires details like the owner's name, architect's address, builder's address, and plumber's address.

Several sections cover specific plumbing aspects:

• PRIVY: Location, water-tightness, and material.
• CESSPOOLS: Number, location, and proximity to the house.
• MAIN DRAIN: Material, connection to sewers, diameter, etc.
• TRAP IN MAIN DRAIN: Material, diameter, and details about covers.
• FRESH AIR INLET: Material and outlet.
• SOIL PIPE: Material, roof extension, ventilation.
• WASTE PIPE: Material, roof extension, ventilation.
• RAIN WATER CONDUCTORS: Location and trapping information.
• SAFE WASTES, REFRIGERATOR WASTES, TANK OVERFLOWS, UNDERDRAINAGE: Routes and methods.
• WATER CLOSET APARTMENTS: Ventilation methods.

The form emphasizes that the location, ownership, and details must be complete and legible, with a border on the left noting this requirement. There is a seal of "Board of Health, City of Haverhill" in the top left corner.

Created by anthropic.claude-3-haiku-20240307-v1:0 on 2025-06-13

This image appears to be an application form for a permit to do plumbing work. It contains a detailed list of questions and specifications that the applicant must provide information about, such as the location of the building, the nature of the building, the number of stories, whether it is a new building or reconstruction, the owner and architect details, the plumber's information, and various details about the plumbing system, including the privy, cesspools, drains, fresh air inlets, soil pipes, waste pipes, rain water conductors, safe wastes, refrigerator wastes, tank overflows, and underdrainage. The form is addressed to the Board of Health in Haverhill, Massachusetts and is dated 1930.

Created by us.anthropic.claude-3-opus-20240229-v1:0 on 2025-06-13

The image shows an "APPLICATION FOR PERMIT TO DO PLUMBING" form from the Board of Health in Haverhill, Massachusetts in 190_. The form asks for detailed information about the plumbing work to be done, including the location, nearest cross street, name of the building, how many stories, whether it is a new building or reconstruction, owner and address, architect and address, builder and address, plumber and address, and more specifics about the plumbing like privy, cesspools, main drain, trap, fresh air inlet, soil pipe, waste pipe, rain water conductors, safe wastes, refrigerator wastes, tank overflows, underdrainage, and water closet apartments. The form is quite comprehensive in gathering all the relevant details needed to assess and approve the plumbing work being applied for.

Created by us.anthropic.claude-3-5-sonnet-20241022-v2:0 on 2025-06-13

This is a historical plumbing permit application form from Haverhill, Massachusetts. The document appears to be Form 12.5m.11-06.Wade and is titled "APPLICATION FOR PERMIT TO DO PLUMBING." It includes a city seal in the top left corner and is addressed to the Board of Health.

The form contains numerous detailed questions about plumbing work to be performed, including sections on:

• Basic building information (location, stories, type of building)
• Privy details (location, construction materials, ventilation)
• Cesspools specifications
• Main drain information
• Trap specifications
• Fresh air inlet requirements
• Soil pipe details
• Waste pipe specifications
• Rain water conductors
• Safe wastes
• Refrigerator wastes
• Tank overflows
• Underdrainage
• Water closet apartments

The form appears to be quite thorough in gathering technical details about plumbing work, reflecting early 20th century plumbing standards and practices. The document emphasizes proper documentation of drainage, ventilation, and waste management systems.

Created by us.meta.llama3-2-11b-instruct-v1:0 on 2025-06-10

The image displays a vintage application form for a permit to do plumbing, titled "APPLICATION FOR PERMIT TO DO PLUMBING." The form is from Haverhill, Mass., and has the seal of the Board of Health in the top-left corner. The form is divided into sections with questions related to the location of the building, cesspools, main drain, trap in main drain, fresh air inlet, soil pipe, waste pipe, rain water conductors, safe wastes, refrigerator wastes, tank overflows, and water closet apartments. Each section has a series of questions that require specific information, such as the location of the building, the number of stories, the type of material used for the main drain, and the diameter of the soil pipe. The form also includes a section for the applicant's signature and date.

The form is printed on yellowed paper with black ink, giving it an aged appearance. The overall design of the form is simple and straightforward, with clear headings and concise language. The use of a formal font and the inclusion of the Board of Health's seal suggest that the form is an official document intended for official use. Overall, the image provides a glimpse into the past, showcasing the types of questions and information that were required for a plumbing permit application in the early 20th century.

Created by us.meta.llama3-2-90b-instruct-v1:0 on 2025-06-10

The image depicts a vintage application for a permit to do plumbing work in Haverhill, Massachusetts. The form is titled "Application for Permit to Do Plumbing" and features a seal from the City of Haverhill in the top-left corner. The application is addressed to the Board of Health and includes a space for the applicant's name and address.

The form is divided into sections, each with a series of questions related to the plumbing work being done. The sections include:

• Location of building
• Privy
• Cesspools
• Main drain
• Trap in main drain
• Fresh air inlet
• Soil pipe
• Waste pipe
• Rain water conductors
• Safe wastes
• Refrigerator wastes
• Tank overflows
• Underdrainage
• Water closet apartments

Each section has multiple questions that require specific information about the plumbing system, such as the location of the building, the type of privy or cesspool, and the materials used for the pipes and fittings. The form also includes spaces for the applicant to provide additional information or explanations.

Overall, the image provides a detailed look at the requirements for obtaining a permit to do plumbing work in Haverhill, Massachusetts, during the early 20th century. It highlights the importance of proper documentation and compliance with local regulations in the plumbing industry.

Created by amazon.nova-lite-v1:0 on 2025-06-05

The image shows a document titled "APPLICATION FOR PERMIT TO DO PLUMBING." It appears to be an official form used by the Board of Health in Haverhill, Massachusetts, to grant permission for plumbing work to be carried out in a building. The form requests detailed information about the building, plumbing system, and other relevant details. The document includes sections for the applicant's name, address, and contact information, as well as specific questions about the plumbing system, such as the location of the building, the nature of the building, the number of stories, the owner's and architect's details, and the plumber's information. The form also asks for information about the plumbing system, including the location and material of the water vault, the number and location of cesspools, the diameter and material of the main drain, the placement and material of manholes, the size and material of the soil pipe, and the ventilation of waste pipes. Additionally, the form requests details about rainwater conductors, safe wastes, refrigerator wastes, tank overflows, and underdrainage. The form is dated 190, indicating that it was created in the early 20th century.

Created by amazon.nova-pro-v1:0 on 2025-06-05

The image depicts a formal document titled "APPLICATION FOR PERMIT TO DO PLUMBING." It is dated from 1900 and is addressed to the Board of Health in Haverhill, Massachusetts. The document is a standard form with specific sections to be filled out by the applicant.

The form begins with a header that includes the name of the town, Haverhill, Massachusetts, and the form number, 12, with a date of 1900. Below this, there is a logo or seal that represents the town or the Board of Health.

The main body of the form is structured with a series of questions and blank spaces for the applicant to provide detailed information. The questions are organized into several categories:

1. General Information: This section asks for the location of the building, including the nearest cross street, ward, nature of the building, number of stories, and whether there is any new building or reconstruction in an old building. It also requests the names and addresses of the owner, architect, builder, and plumber.

2. Privy: Questions about the location, whether it is water-tight, the material it is built of, and ventilation.

3. Cesspools: The number of cesspools, their location, and whether they are water-tight and leaching.

4. Main Drain: Details about the main drain, including whether it is inside the building or outside the cellar wall, its connection to public sewer or cesspool, its position relative to the cellar bottom, the number of clean-outs, their placement in man-holes, and the size and material of the man-holes.

5. Trap in Main Pipe: Information on the material of the pipe from the cesspool or sewer, whether it has hand-holes and proper covers, and its location inside or outside the house.

6. Fresh Air Inlet: Material, diameter, and location.

7. Soil Pipe: Material, diameter, whether it extends through the roof, and if all branches over twelve feet in length are ventilated.

8. Waste Pipe: Material, diameter, whether it extends through the roof, and if all branches over fifteen feet in length are ventilated.

9. Rain Water Conductors: Location, whether inside or outside the house, and if they are trapped.

10. Safe Wastes: Location where they run to.

11. Refrigerator Wastes: Location where they run to.

12. Tank Overflows: Location where they run to (boiler supply).

13. Underdrainage: Means employed to remove surface or ground-water.

14. Water Closet Apartments: Means employed to ventilate W.C. apartments.

The form is designed to gather comprehensive information about the plumbing system to ensure it meets health and safety standards before granting a permit. The blank spaces next to each question indicate where the applicant should provide the necessary details.

Created by gemini-2.0-flash on 2025-05-01

Here's a description of the image:

The image shows an old application form titled "APPLICATION FOR PERMIT TO DO PLUMBING," issued by the Board of Health in Haverhill, Massachusetts, likely from the early 20th century (the year is listed as "190_" so pre-1910). It features a heading at the top-left corner that reads, "Form12,3m, 11-06, Wade". The form has a seal with the text "SETTLED 1640 INSTITUTED A CITY" at the top left and instructions to fill out all sections, including the location, ownership, and details, in a complete and legible manner, running vertically along the left side.

The main body of the form consists of a series of questions related to the plumbing work to be done. These include general information such as the location and nature of the building, number of stories, whether it is a new building or a reconstruction, and contact information for the owner, architect, builder, and plumber. The form also asks for specific details about the plumbing system, including information about the privy, cesspools, main drain, trap in the main drain, fresh air inlet, soil pipe, waste pipe, rain water conductors, safe wastes, refrigerator wastes, tank overflows, underdrainage, and water closet apartments. The questions cover aspects like location, materials, sizes, whether components are connected to public systems, ventilation, and where the various waste streams run to. The design of the form includes designated spaces for answers, many with "Material?" or "Diameter?" labels indicating the type of information needed.

Created by gemini-2.0-flash-lite on 2025-05-01

Here's a description of the image:

Overall:

The image is a vintage application form for a plumbing permit. It's a document from Haverhill, Massachusetts, dating back to around 190_. The form is filled with questions to gather information about the plumbing work to be done.

Key Features and Content:

• Header: The document is titled "APPLICATION FOR PERMIT TO DO PLUMBING."
• Local Authority: The form is addressed to the "Board of Health" of Haverhill, Mass.
• Applicant's Role: The text "The undersigned hereby applies for a permit to do plumbing work" indicates the purpose.
• Detailed Information: The form is divided into sections requesting specific details about the plumbing work, the building, and waste removal. There are detailed inquiries about elements of a home's infrastructure, like main drains, privies, cesspools, and waste pipes.
• Questionnaire Format: The form is structured as a questionnaire with blank lines for the applicant to fill in the required information.
• Organization of information: The questionnaire form has different sections, with each section dedicated to a specific component of a building's waste management system.
• Specific Questions: The form asks questions about the building's location, number of stories, the nature of the building, etc. Then it goes into specifics, like the type of pipes to be installed, location of the waste systems, if they are water-tight, etc.
• Details: The form is filled with a set of instructions to clarify the information of the application, with the following phrase: "Location, ownership, and details must be complete and legible".

Visual Characteristics:

• Typography: The text is typed, using a simple font.
• Layout: The form has a clean, organized layout. Questions and spaces are provided, with no visual elements.
• Condition: The image has the appearance of an aged document with a slight yellowed tint, due to the paper's age.

In Summary:

This image is a fascinating historical document, offering a glimpse into the regulations and processes of plumbing and construction in the early 20th century. It reveals the meticulous nature of permit applications and the detailed requirements for ensuring proper plumbing and waste disposal.

Created by us.mistral.pixtral-large-2502-v1:0 on 2025-06-04

The image is a historical document titled "Application for Permit to Do Plumbing" from Haverhill, Massachusetts. The form is labeled as Form 12.3m.11-06, Wade. It is addressed to the Board of Health and is an application for a permit to conduct plumbing work. The application requires detailed specifications about the plumbing work to be done.

The form includes several sections for information related to the building and the plumbing system:

1. Building Information:

   • Location of the building (including ward, nearest cross street, nature of the building, number of stories).
   • Whether the building is new or a reconstruction of an old building.
   • Owner's name and address.
   • Architect's name and address.
   • Builder's name and address.
   • Plumber's name and address.

2. Privy Information:

   • Location.
   • Whether it is vault water-tight.
   • Material of the vault.
   • Ventilation details.

3. Cesspools Information:

   • Number of cesspools.
   • Location.
   • Distance to the house wall.
   • Whether they are water-tight and the material used.
   • Whether they are leaching and the material used.

4. Main Drain Information:

   • Location (inside the building and four feet outside the cellar wall).
   • Diameter.
   • Connection to the public sewer or cesspool.
   • Position relative to the cellar bottom.
   • Number and pattern of clean-outs.
   • Whether clean-outs are placed in man-holes.
   • Size and material of man-holes.
   • Material of the pipe from the cesspool or sewer.
   • Diameter of the pipe.

5. Trap in Main Drain:

   • Material.
   • Presence of hand-holes and proper covers.
   • Location (inside or outside the house).

6. Fresh Air Inlet:

   • Material.
   • Location where it opens.
   • Diameter.

7. Soil Pipe:

   • Material.
   • Whether it extends through the roof.
   • Ventilation of branches over twelve feet in length.
   • Diameter.

8. Waste Pipe:

   • Material.
   • Whether it extends through the roof.
   • Ventilation of branches over fifteen feet in length.
   • Diameter.

9. Rain Water Conductors:

   • Location where they run.
   • Whether they are inside or outside the house.
   • Whether they are trapped.

10. Safe Wastes:

    • Location where they run.

11. Refrigerator Wastes:

    • Location where they run.

12. Tank Overflows:

    • Boiler supply.
    • Location where they run.

13. Underdrainage:

    • Means employed to remove surface or groundwater.

14. Water Closet Apartments:

    • Means employed to ventilate water closet apartments.

The form emphasizes that the location, ownership, and detail must be complete and legible.